不稳定型心绞痛合并2型糖尿病的介入治疗

Analysis of Efficiency of Percutaneous Coronary Intervention in Patients with Unstable Angina Pectoris and Type 2 Diabetes Mellitus

目的观察合并糖尿病的不稳定型心绞痛(UAP)患者经皮冠脉介入治疗(PCI)的疗效。方法因UAP住院的糖尿病患者经药物治疗效果欠佳而接受PCI治疗者48例,术后随访3～24个月,观察心血管事件发生情况。结果接受PCI的合并糖尿病的UAP患者,随访24个月无猝死及心肌梗死发生,心绞痛症状明显改善。结论合并糖尿病的UAP患者的冠状动脉病变较重,PCI治疗仍能取得良好的疗效。

Objective To observe the efficiency of percutaneous coronary intervention（PCI） in patients with unstable angina pectoris （UAP） and type 2 diabetes mellitus. Methods Total 48 patients with type 2 diabetes mellitus who were admitted to hospital because of UAP received the PCI for bad drug effectiveness. They were followed up for 3 - 24 months, and cardiovascular events were observed. Results No sudden death or myocardial infarction was observed. The symptoms of angina pectoris were improved obviously. Conclusion Though patients with UAP and diabetes mellitus had worse coronary circulation ,PCI could improve the clinical results.