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糖尿病合并冠心病患者冠状动脉造影特点及介入治疗的疗效
引用本文:程静芳,辜和平,项学军,宋德明,乔锐. 糖尿病合并冠心病患者冠状动脉造影特点及介入治疗的疗效[J]. 安徽医学, 2010, 31(6): 572-574. DOI: 10.3969/j.issn.1000-0399.2010.06.007
作者姓名:程静芳  辜和平  项学军  宋德明  乔锐
作者单位:安庆市立医院心血管内科,246003
摘    要:目的探讨糖尿病合并冠心病患者冠状动脉病变特点及介入治疗的近远期疗效。方法在2008年1月至2009年6月行冠状动脉介入治疗的患者中,入选141例患者,根据是否合并糖尿病(DM)分为DM组(38例)和非DM组(103例)。回顾性分析这些患者的临床及冠状动脉病变特点、即刻手术成功率和近远期主要心脏不良事件。结果与非DM组相比,DM组平均冠状动脉病变处数、长病变、分叉病变和多支病变发生率显著增高(P〈0.05),两组之间的PC I操作成功率、临床成功率差异无统计学意义(P〉0.05),但DM组支架内再狭窄、再次血运重建和主要不良心血管事件发生率高(P〈0.05)。结论糖尿病合并冠心病患者冠状动脉病变严重复杂,支架内再狭窄和远期心脏不良事件发生率较高,需强化血运重建术后管理。

关 键 词:冠状动脉疾病  糖尿病  冠状动脉造影  介入治疗

Angiographic characteristics and near long term clinical effectiveness of percutaneous coronary interrention in coronary heart disease patients with diabetes mellitus
Cheng Jingfang,Gu Heping,Xiang Xuejun,et al. Angiographic characteristics and near long term clinical effectiveness of percutaneous coronary interrention in coronary heart disease patients with diabetes mellitus[J]. Anhui Medical Journal, 2010, 31(6): 572-574. DOI: 10.3969/j.issn.1000-0399.2010.06.007
Authors:Cheng Jingfang  Gu Heping  Xiang Xuejun  et al
Affiliation:Cheng Jingfang,Gu Heping,Xiang Xuejun,et al Department of Cardiovascular Medicine,Anqing Hospital,Anqing 246003,China
Abstract:Objective To explore the coronary artery pathological changes and near long term clinical effectiveness of percutaneous coronary interrention in coronary heart disease patients with diabetes mellitus.Methods A total of 141 consecutive patients with coronary artery lesions who underwent percutaneous coronary interrention during the period from January 2008 to June 2009,were divided into diabetes mellitus group and non-diabetes mellitus group.The basic characteristics,immediate success rate and the incidence ...
Keywords:Coronary disease  Diabetes mellitus  Coronary angiography  Percutaneous coronary interrention  
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