经皮冠状动脉介入治疗对冠心病合并2型糖尿病高龄患者的疗效观察

目的:探讨冠心病合并2型糖尿病(T2DM)高龄患者的冠状动脉病变特点和介入治疗的特点。方法:对经临床诊断为冠心病高龄患者进行冠状动脉造影40例,按是否合并2型糖尿病分为两组进行统计学分析。结果:冠状动脉造影显示,糖尿病组以多支病变、C型病变、弥漫性病变为主,而非糖尿病组以单支病变、B型病变。两组患者在病变支数和病交类型差异有显著意义(P<0.01,P<0.05)。介入治疗显示,糖尿病组患者需要支架后扩张、支架重叠、平均病交长度、术前参考血管直径、每个病变支架长度、平均每台手术时间、术中无复流现象,与非糖尿病组患者差异有显著意义(P<0.01,P<0.05)。结论:冠心病合并2型糖尿病患者比非合并糖尿病患者的冠状动脉病变的范围大,程度重,介入治疗难度大,并发症多。

Therapeutic Effects of PCI in Coronary Heart Disease in Elderly Patients with Type 2 Diabetes

Objective:Explore coronary heart disease merger type 2 diabetes mellitus(high-risk T2DM) age patients of coronary artery pathological feature and the characteristics of interventional therapy Methods:On the clinical diagnosis of CHO age patients on 20 cases of coronary angiography,according to whether the merger type 2 diabetes is divided into two groups statistical analysis.Results: Coronary angiography showed that diabetics with multivessel disease,C lesion,diffuse disease primarily,but without diabetes groups to a single lesion,type B lesions.Two groups of patients in lesions count and disease into types are significant difference(P<0.01,P<0.05).Interventional treatment shows,diabetic patients stented expansion,need stent overlap,average disease into length,diameter,each preoperative reference vascular lesions stents length,average per operative time,intraoperative without complex flow phenomena,and non diabetic patients differences are significant(P<0.01,P<0.05).Conclusion:Coronary heart disease merger type 2 diabetes patients than the merger diabetes coronary lesions in the range of big,degree of heavy,interventional therapy is difficulty and much complications.