【摘要】 目的　分析老年人急性心肌梗死 (AMI)介入治疗的临床结果和成本趋势。　 方法 　收集从 1996～2 0 0 1年 45 7例老年人AMI患者的临床资料。医疗成本资料从医院的信息管理系统获得。　 结果 　 2 0 0 1年进行冠状动脉介入 (PCI)治疗的老年患者比 1996年增加约 2 7 4% ,1996年与 2 0 0 1年因任何原因再住院患者的比例分别为5 3 3 %和 17 0 % (P <0 0 5 ) ,与PCI治疗有关的再住院患者的比例分别为 40 0 %和 3 7% (P <0 0 5 ) ,再次血管重建术患者的比例分别为 13 3 %和 1 5 % (P <0 0 5 )。 2 0 0 1年PCI的治疗成本比 1996年减少约 8744元 ,其中 99%是手术费的减少。　 结论　近几年老年人AMI介入治疗的临床结果是有改进的。PCI治疗成本的减少主要是手术费的减少 ,可能与再次血管重建术的比例减少有一定的关系更多还原

【Abstract】 Objective To examine the trends in clinical and economic outcomes of percutaneous coronary intervention in elderly patients with acute myocardial infarction. Methods A total of 457 patients undergoing PCI were evaluated between 1996 and 2001.Financial data were gathered from hospital database. Results Between 1996 and 2001,the total number of elderly patients undergoing PCI increased by 27.4%,the all-cause readmission rate declined from 53.3% to 17.0%(P<0.01),the PCI-related readmission rate from 40.0% to 3.7%(P<0.05),the admission rate for repeated revascularization from 13.3% to 1.5%(P<0.05).The total treatment costs per patient declined by 8 477 RMB,primarily because of a decline in the operation cost. Conclusions The clinical outcome of coronary angioplasty have improved in recent years.The number related to repeated revascularization has declined,with an associated decline in downstream costs.更多还原