急诊PTCA治疗糖尿病并急性心肌梗死心功能临床研究  

The protected effect of emergency percutaneous transluminal coronary angioplasty to cardiac function in acute myocardial infarction patients with diabetic

作　　者：林建昌[1] 李平[2] 

机构地区：[1]梅州市人民医院药剂科,广东省梅州514031 [2]梅州市人民医院心内科,广东省梅州514031

出　　处：《中国基层医药》2006年第3期441-442,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的研究急诊PTCA治疗糖尿病并急性心肌梗死对患者心功能的保护作用。方法对45例2型糖尿病并急性心肌梗死患者施行急诊PTCA(PCTA组),并与同期48例2型糖尿病并急性心肌梗死而未行PTCA者(非PTCA组)进行比较,分别观察入院时、住院24h及发病3个月的心功能分级(Killip分级)和发病3个月的心脏左室射血指数(LVEF)值。结果两组患者入院时的心功能分级差异无显著意义;住院24h和发病3个月的心功能分级及发病3个月的EF均PTCA组明显优于未行PTCA组。结论急诊PTCA能较好保护糖尿病并急性心肌梗死患者的心功能。Objective To explore the protected effect of acute myocardial infarction with diabetic patients after emergency percutaneous transluminal coronary angioplasty（PTCA）. Methods The clinical cardiac function classificarion（Killip classification） and left venrricular ejecrion fracrion（LVEF） in the period of hospiralizing, hospitalization after 24 hours and AMI after 3 months were compared between. 45 AMI patients with 2-type diabetic who had underwent emergency PTCA（PTCA group） and 48 AMI patients with 2-type diabetic without undergoing emergency PTCA（no-PCTA group）. Results The difference of the Killip classification and LVEF in the period of hospitalizing between PCTA group and no-PCTA group had no significance （ P 〉 0.05 ）, and the Killip classification and LVEF in the period of hospitalization after 24 hours and AMI after 3 months in PTCA group were significantly improved compared with that in no-PCTA group（P 〈 0.05）. Conclusion Emergency PTCA in acute myocardial infarction with diabetic patients can better protect the patients＇ cardiac function.

关 键 词：冠状动脉扩张术 糖尿病 急性心肌梗死 心功能 

分 类 号：R587.1[医药卫生—内分泌] R542.22[医药卫生—内科学]