CAJ | 학술논문

目的：分析冠心病合并糖尿病的冠脉特点，并观察患者采用介入治疗的临床疗效。方法选取我院2012年10月至2013年10月接收的行冠状动脉介入治疗的患者78例，参照患者是否合并糖尿病情况，将其分为非DM组(42例）与DM组(36例），进而分析两组患者的冠状动脉特点，并观察患者经介入治疗后的主要心脏不良事件发生率等情况。结果两组患者经造影与治疗后的结果显示，DM组患者的病变范围更为广泛，且钙化程度较之于非DM组更为严重，弥漫性病变、三支病变发生率明显高于非DM组；DM组再次血运重建率、支架内再狭窄率以及主要不良心血管事件发生率均较高(P＜0.05）。结论冠心病合并糖尿病患者的冠状动脉病变较为复杂，患者经介入治疗后的主要心脏不良事件与支架内再狭窄率均较高，故而应给予患者强化血运重建术治疗。
목적：분석관심병합병당뇨병적관맥특점，병관찰환자채용개입치료적림상료효。방법선취아원2012년10월지2013년10월접수적행관상동맥개입치료적환자78례，삼조환자시부합병당뇨병정황，장기분위비DM조(42례）여DM조(36례），진이분석량조환자적관상동맥특점，병관찰환자경개입치료후적주요심장불량사건발생솔등정황。결과량조환자경조영여치료후적결과현시，DM조환자적병변범위경위엄범，차개화정도교지우비DM조경위엄중，미만성병변、삼지병변발생솔명현고우비DM조；DM조재차혈운중건솔、지가내재협착솔이급주요불양심혈관사건발생솔균교고(P＜0.05）。결론관심병합병당뇨병환자적관상동맥병변교위복잡，환자경개입치료후적주요심장불량사건여지가내재협착솔균교고，고이응급여환자강화혈운중건술치료。
Objective?To?analyze?the?characteristics?of?coronary?heart?disease?and?diabetes,and?observe?the?patients’?clinical?efficacy?of?interventional?therapy.?Methods?Selected?our?hospital?78?cases?with?coronary?intervention?in?October?2012-October?2013,?with?the?cases?whether?had?diabetes,?divided?into?non-DM?group?(42?cases)?and?DM?group?(36?cases),?Observed?patients’?major?adverse?cardiac?event?rates?after?interventional?treatment.?Results?The?results?showed?that?after?contrast?and?treatment,the?DM?group’s?extent?of?disease?was?more?widely,?and?the?calcification?compared?to?non-DM?group?was?more?severe,?DM?group’s?revascularization,?stent?restenosis?and?major?adverse?cardiovascular?events?were?high?than?non-DM?group(P<0.05).?Conclusion?Patients?with?coronary?heart?disease?and?diabetes,the?coronary?lesions?were?more?complex,?after?intervention?the?major?adverse?cardiac?events?and??instent?restenosis?rate?were?higher,?therefore?patients?should?be?given?to?strengthening?revascularization?therapy.