冠心病合并糖尿病患者冠脉造影特点及冠脉支架置入术疗效分析  

Clinical Manifestations and Coronary Angiographic Characteristics and Coronary Stent Placement Treat of Patients with Coronary Heart Disease and Diabetes Mellitus

作　　者：戴萌[1] 王忠明[1] 董秋立[1] 

机构地区：[1]华北油田公司总医院心内科,任丘062552

出　　处：《中国医药导刊》2012年第10期1662-1663,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨冠心病合并糖尿病患者冠脉造影特点及冠脉支架置入术治疗的临床效果。方法:选择我院收治的64例冠心病合并糖尿病患者作为观察组,同期住院的64例冠心病不合并糖尿病患者作为对照组。两组均行冠脉造影,给予常规药物治疗及经皮冠状动脉介入治疗。分析两组冠脉造影结果、治疗效果及不良反应发生情况。结果:观察组以三支病变及多支多节段弥漫病变为主,分别占总病变发生率的31.3%,37.5%。对照组以单支病变及双支病变为主,分别占总病变发生率的42.2%,37.5%。观察中重度狭窄显著高于对照组,差异有统计学意义(P<0.05)。观察组与对照组手术成功率经统计学分析,差异无统计学意义(P>0.05)。两组复查后经冠脉造影未见再狭窄发生,两组再狭窄发生率经统计学分析,差异无统计学意义(P>0.05)。结论:根据冠心病合并2型糖尿病冠脉造影特点,采取相应冠脉支架置入术治疗,手术成功率高,随访复发率低,使用方便,不良反应少。Objective：To study the Clinical manifestations and coronary angiographic characteristics and coronary stent placement treat of patients with coronary heart disease and diabetes mellitus.Methods：Choose 64 cases of coronary heart disease of patients with diabetes mellitus as the observation group,choose 64 cases of coronary heart disease patients with no diabetes mellitus as control group.Both groups used coronary angiography,gaive conventional treatments and percutaneous coronary interention.We compared coronarography results and clinical effect and adverse reaction of the two groups.Results：The observation group primary to three teams of lesions and with many segment diffuse pathological changes is given priority to,respectively,31.3% of the total incidence of disease,37.5%.The control group primary to single lesions and two teams of lesions and with many segment diffuse pathological change,respectively,42.2% of the total incidence of disease,37.5%.Observation is significantly higher than the control group moderate to severe stricture,the difference was statistically significant（P0.05）.The observation group and control group the success rate after statistics analysis,the difference was not statistically significant（P0.05）.Two groups of review by the coronary angiography after not seen happen restenosis,two groups of restenosis rate after statistics analysis,the difference was not statistically significant（P0.05）.Conclusion： According to coronary heart disease combined type 2 diabetes coronary angiography characteristics,adopt corresponding coronary stent placement therapy,surgery high success rate,follow-up the recurrence rate is low,easy to use,fewer side effects.

关 键 词：冠心病 糖尿病 冠脉造影 冠脉支架 

分 类 号：R541.4[医药卫生—心血管疾病]