急诊冠脉支架植入患者不同血糖水平与术后再狭窄发生率的相关性探讨

To Investigate the Correlation Between Blood Glucose Level and the Operation of Emergency Coronary Stent Implantation in Patients with Restenosis Rate

目的探讨急诊冠脉支架植入患者的血糖水平与术后再狭窄发生率的相关性。方法采用回顾性分析方法 ,选取在2014年1月—2016年5月间收入该院诊断为冠心病患者并进行急诊冠状动脉内支架植入术的340例患者,对患者血糖及各项指标价差数据与术后再狭窄发生率进行统计学计算。结果 340例患者共植入365枚支架,其中132例(151枚支架)发生术后再狭窄,经6个月随访,再狭窄率为41.3%,根据患者病史及血糖水平分为正常糖耐量(NGT)、糖调节异常(GIR)及糖尿病组(DM),糖调解异常组、糖尿病组再狭窄水平明显高于血糖正常组(P<0.05),差异具有统计学意义。结论冠心病和并糖尿病患者冠脉病变常累及多支,入院时血糖水平是急诊冠状动脉支架植入术后再狭窄的独立危险因素。

Objective To investigate the correlation between blood glucose level and the operation of emergency coronary stent implantation in patients with restenosis rate. Methods Retrospective analysis method was used to select between May2016 income of our hospital diagnosed as coronary heart disease and coronary artery stenting in 340 patients in January2014, to spread data and postoperative blood glucose and the index of the patients with restenosis rate after were statistically calculated. Results 340 cases were treated with 365 stents, including 132 cases（151 stents） had postoperative restenosis after 6 months follow-up, restenosis rate was 41.3%, according to the medical history and blood glucose levels were divided into normal glucose tolerance（NGT）, sugar abnormal regulation（GIR） and diabetes group（DM）, sugar mediation abnormal group, diabetes group restenosis levels were significantly higher than the normal blood glucose group（P〈0.05）, with statistical significance. Conclusion The patients with diabetes and coronary heart disease and coronary artery lesions It usually involves multiple branches, admission blood glucose levels are independent risk factors of restenosis after coronary artery stent implantation in emergency.