| 高血糖对冠心病支架植入术后远期左室舒张功能改善的影响 |
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| 引用本文： | 吴凤霞,徐顺霖,冯新恒,毛节明. 高血糖对冠心病支架植入术后远期左室舒张功能改善的影响[J]. 山东医药, 2010, 50(20): 12-14 |
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| 作者姓名： | 吴凤霞 徐顺霖 冯新恒 毛节明 |
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| 作者单位： | 北京大学第三医院,北京,100191;黑龙江省铁力林业医院;北京大学第三医院,北京,100191 |
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| 摘 要： | 目的探讨血糖控制对冠状动脉内支架植入术后左室舒张功能恢复的影响,评价病情及预后转归。方法126例冠心病患者以糖化血红蛋白（HbA1 c）筛选分为血糖异常（B组）与血糖控制良好者（A组）。应用多普勒超声心动图检测二尖瓣血流、舒张早期最大流速（E）、舒张晚期最大流速（A）、E/A比值、舒张早期快速充盈减速时间（DT）,用组织多普勒成像技术（TD I）测量二尖瓣前后叶瓣环运动的舒张早期运动速度（Em）。结果A组DT术后3、6个月均较术后24 h内减少,E/A值、Em在术后24 h内、3、6个月3组间均有显著性改变（P〈0.01）;B组DT仅术后6个月较术后24 h内相比有显著性改变（P〈0.05）,E/A值术后3、6个月较术后24 h内改善,但术后3~6个月没有改善,Em无改善。结论支架植入术后,血糖控制不佳的患者左室舒张功能远期没有改善,提示对于冠心病患者血糖控制的重要性不容忽视。
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| 关 键 词： | 血糖 冠状动脉疾病 支架植入术 心室舒张功能 |
Impact of hyperglycemia on left ventricular diastolic function in patients with coronary heart disease after stent implanatation |
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| WU Feng-xia,XU Shun-lin,FENG Xin-heng,MAO Jie-ming. Impact of hyperglycemia on left ventricular diastolic function in patients with coronary heart disease after stent implanatation[J]. Shandong Medical Journal, 2010, 50(20): 12-14 |
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| Authors: | WU Feng-xia XU Shun-lin FENG Xin-heng MAO Jie-ming |
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| Affiliation: | WU Feng-xia1,XU Shun-lin,FENG Xin-heng,MAO Jie-ming(1 Peking University Third Hospital,Beijing 100191,P.R.China) |
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| Abstract: | Objective To evaluate the impact of hyperglycemia on left ventricular diastolic function in the patients with coronary heart disease(CHD) after stent implanatation.Methods A total of 126 CAD patients with diabetes mellitus were collected after stent implantation,who were classified by HbA1c,Left ventricular diastolic function of CAD patients with hyperglycemia(group A) had been compared with that of normal blood sugar under control group(group B).The mitral inflow profile(E,A,E/A) and the deceleration time(... |
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| Keywords: | blood glucose coronary disease ventricular diastolic function |
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