老年急性冠状动脉综合征合并糖尿病患者介入治疗的疗效和预后  

Acute-stage and long-term efficacy of PCI in old patients with ACS complicated with diabetes

作　　者：田声放[1] 孙元芬[1] 潘巍巍[1] 赵鋆荃[1] 徐瑞金[1] 卢才义[2] 

机构地区：[1]青岛市市立医院,青岛266001 [2]解放军总医院

出　　处：《中华老年心脑血管病杂志》2009年第11期837-839,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的评价老年急性冠状动脉综合征(ACS)合并糖尿病患者PCI的效果和预后。方法选择年龄>65岁的老年ACS行PCI患者232例,按是否合并糖尿病分为合并组(76例)和非合并组(156例),两组均行药物洗脱支架置入,合并组急诊PCI 17例(22.4%),非合并组急诊PCI 41例(26.3%)。随访6个月～4年,观察两组患者手术成功率、住院期间和远期心脑血管事件发生率。结果合并组患者女性和3支血管病变比例明显高于非合并组(P<0.05,P<0.01)。合并组和非合并组PCI成功率比较差异无统计学意义(97.5%vs 97.6%,P>0.05)。两组术后并发症、住院期间和远期心脑血管事件发生率比较差异无统计学意义(P>0.05)。结论ACS合并糖尿病患者PCI成功率高,PCI安全有效。Objective To assess the efficacy and prognosis of the treatment of percutaneous coronary intervention（PCI） in the elderly patients with acute coronary syndrome complicated with diabetes mellitus（ACS＋DM）. Methods Patients（age〉65） with acute coronary syndrome（ACS） underwent PCI. Seventy-six patients were suffering from ACS＋DM,and 126 patients were suffering from ACS without DM（NDMACS）. They were all treated with drug-eluting stents. Emergen- cy PCI was performed in 17 patients（22.4%） in ACS＋DM group and 41 patients（26.3%） in NDMACS group. The incidence of major adverse cardiac events during stay in hospital and the follow up period were observed. Results The proportions of females and patients with triple-ves- sel coronary disease in the ACS＋ DM group were significantly higher than those in NDMACS group （P ~ 0.05 ,P ~ 0.01）. There was no significant difference of the rate of successful PCI between these two groups （P 〉 0.05）. There was no significant difference in complications and incidence of major adverse cardiac and cerebral events during stay in hospital and follow-up period between the two groups also （P 〉 0.05）. Conclusions In the ACS＋DM patients PCI was highly successful. PCI is safe and effective for the elderly patients with ACS＋DM.

关 键 词：冠心痛 糖尿病 支架 冠状动脉疾病 冠状血管造影术 危险因素 

分 类 号：R541.4[医药卫生—心血管疾病] R587.1[医药卫生—内科学]