冠心病合并糖尿病患者冠状动脉旁路移植术围手术期的处理

Treatment of peri-surgery period of coronary artery bypass graft in patient with coronary artery disease complicating diabetes

目的:研究伴冠心病合并糖尿病患者冠状动脉旁路移植术(CABG)围手术期的处理。方法:以2000年1月至2006年5月的189例冠心病行CABG患者为研究对象,按是否同时合并有糖尿病分为糖尿病组(56例)和无糖尿病组(133例),对比两组临床特点,搭桥支数,术后处理及术后并发症。结果:冠心病合并糖尿病患者冠脉病变广泛而严重(P<0.01),搭桥4支的比例明显高于非糖尿病组(56.3%∶19.63%,P<0.01)),术后并发症的发生率明显高于非糖尿病例组(P<0.01)。结论:冠心病合并糖尿病患者较无糖尿病患者冠脉病变更加严重,合并症更多,需认真、积极对待。

Objective：To study the treatment of peri-surgery period of coronary artery bypass graft in patient with coronary artery disease（CAD）complicating diabetes.Methods：A total of 189 CAD patients were divided two groups according isn＇t complicating diabetes：CAD patients complicating diabetes group（observe group,56 cases）and CAD patients without diabetes group（control group,133 cases）.The data of two groups were compared.Results：Compared with control group the lesion of coronary artery was more extensive and severity（P〈0.01）,the patient with 4 branches of bypass graft was more（P〈0.01）,the complication increased（P〈0.01）in observe group.Conclusion：Compared with CAD patients without diabetes,the lesion of coronary artery is more extensive and severity and the complication is more in CAD patients with diabetes,it must be paid attention.