CAJ | 학술논문

目的：观察年龄≥75岁老年糖尿病患者植入心脏永久起搏器的近期及远期疗效及并发症。方法入选2005年1月至2013年12月在北京军区总医院干四科植入永久心脏起搏器年龄≥75岁老年患者89例，根据是否合并糖尿病，分为糖尿病组（n=38）与非糖尿病组（n=51）。随访及记录两组患者起搏器植入术后并发症发生情况及远期疗效。结果两组患者手术成功率均为100%，平均随访5年以上。两组患者起搏器植入后电极脱位、囊袋感染等并发症发生率无统计学差异（P＞0.05），随访过程中均未再发生黑朦、晕厥等临床表现，偶有患者有心悸心动过速表现，98.9%的患者生活质量得到改善。结论老年糖尿病患者在严格控制血糖水平下可与非糖尿病患者一样接受植入心脏永久起搏器治疗。
목적：관찰년령≥75세노년당뇨병환자식입심장영구기박기적근기급원기료효급병발증。방법입선2005년1월지2013년12월재북경군구총의원간사과식입영구심장기박기년령≥75세노년환자89례，근거시부합병당뇨병，분위당뇨병조（n=38）여비당뇨병조（n=51）。수방급기록량조환자기박기식입술후병발증발생정황급원기료효。결과량조환자수술성공솔균위100%，평균수방5년이상。량조환자기박기식입후전겁탈위、낭대감염등병발증발생솔무통계학차이（P＞0.05），수방과정중균미재발생흑몽、훈궐등림상표현，우유환자유심계심동과속표현，98.9%적환자생활질량득도개선。결론노년당뇨병환자재엄격공제혈당수평하가여비당뇨병환자일양접수식입심장영구기박기치료。
Objective To observe the short-term and long-term curative effects and complications in elderly patients aged over 75 with diabetes after implanting permanent cardiac pacemakers. Methods The elderly patients aged over 75 implanting permanent cardiac pacemakers (n=89) were chosen from Jan. 2005 to Dec. 2013, and then divided into diabetes group (n=38) and non-diabetes group (n=51). The complications after implantation and long-term curative effect were followed up and recorded in 2 groups. Results The success rate was 100%in both groups, and average follow-up period was over 5 y. The incidence of complications including electrode dislocation and pocket infection had no statistical difference between 2 groups (P>0.05). There were no amaurosis and syncope observed during follow-up and a few patients had palpitation and tachycardia. The quality of live was improved in 98.9%patients. Conclusion The elderly patients with diabetes can accept implantation of permanent cardiac pacemaker like those without diabetes when the level of plasma glucose is controlled strictly.