经皮冠状动脉介入治疗对冠心病合并2型糖尿病高龄患者的疗效观察

Therapeutic Effects of PCI in Coronary Heart Disease in Elderly Patients with Type 2 Diabetes

目的:探讨冠心病合并2型糖尿病(T2DM)高龄患者的冠状动脉病变特点和介入治疗的特点。方法:对经临床诊断为冠心病高龄患者进行冠状动脉造影40例,按是否合并2型糖尿病分为两组进行统计学分析。结果:冠状动脉造影显示,糖尿病组以多支病变、C型病变、弥漫性病变为主,而非糖尿病组以单支病变、B型病变。两组患者在病变支数和病交类型差异有显著意义(P<0.01,P<0.05)。介入治疗显示,糖尿病组患者需要支架后扩张、支架重叠、平均病交长度、术前参考血管直径、每个病变支架长度、平均每台手术时间、术中无复流现象,与非糖尿病组患者差异有显著意义(P<0.01,P<0.05)。结论:冠心病合并2型糖尿病患者比非合并糖尿病患者的冠状动脉病变的范围大,程度重,介入治疗难度大,并发症多。

Objective：Explore coronary heart disease merger type 2 diabetes mellitus （high-risk T2DM） age patients of coronary artery pathological feature and the characteristics of interventional therapy Methods： On the clinical diagnosis of CHD age patients on 20 cases of coronary angiography, according to whether the merger type 2 diabetes is divided into two groups statistical analysis.Results： Coronary angiography showed that diabetics with multivessel disease, C lesion, diffuse disease primarily, but without diabetes groups to a single lesion, type B lesions. Two groups of patients in lesions count and disease into types are significant difference （P 〈 0.01, P 〈 0.05）. Intervantional treatment shows, diabetic patients stented expansion, need stent overlap, average disease into length, diameter, each preoperative reference vascular lesions stents length, average per operative time, intraoperative without complex flow phenomena, and non diabetic patients differences are significant （P 〈 0.01, P 〈 0.05）. Conclusion：Coronary heart disease merger type 2 diabetes patients than the merger diabetes coronary lesions in the range of big, degree of heavy, interventional therapy is diffietilt and much complications.