急诊冠状动脉内支架植入术治疗老年糖尿病患者急性心肌梗死的临床观察

Clinical Observation of Acute Myocardial Infarction Treated by Emergency Coronary Stent Implantation in Elderly Diabetic Patients

目的:观察在老年糖尿病患者急性心肌梗死急诊治疗过程中冠状动脉内支架植入术的临床疗效。方法:本研究将在本院接受DM-AMI治疗的患者56例作为实验对象,对患者实施冠状动脉内支架植入术治疗,将患者按照治疗前和治疗后分组,治疗前为对照组,治疗后为观察组,对两组治疗情况进行比较。结果:56例患者治疗之后,有效的患者例数为50例(包括治疗显效、有效的患者31例、19例),治疗效果为无效的患者例数为6例,治疗有效率为89.3%。对照组患者LVEF低于观察组,两组患者差异具有统计学意义,P<0.05。治疗后患者的在死亡例数为1例,死亡率为1.8%;并发症发生情况分别为严重心律失常6例、严重心力衰竭3例、冠状动脉再闭塞5例,并发症发生率为25.0%,与对照组患者差异显著,P<0.05。结论:在老年患者DM-AMI急诊治疗过程中PCI的应用效果较为理想,可以获得更好的治疗效果与安全性,促进了患者的治疗与恢复。

Objective:To observe the clinical effect of coronary stent implantation in the emergency treatment of acute myocardial infarction in elderly diabetic patients.Methods:In this study,56 patients who received DM-AMI treatment in our hospital were selected as experimental subjects.Intra-coronary stent implantation was performed on the patients.The patients were divided into two groups before and after treatment,including control group before treatment and observation group after treatment,and the treatment status of the two groups was compared.Results:After the treatment of 56 patients,the number of effective patients was 50(including 31 and 19 patients with significant and effective treatment),and the number of patients with ineffective treatment was 6 case,with a treatment effectiveness rate of 89.3%.The LVEF of the control group patients was lower than that of the observation group,and the difference between the two groups was statistically significant,P<0.05.After treatment,the number of deaths in patients was 1 case,with a mortality rate of 1.8%;The incidence of complications was 6 cases of severe arrhythmia,3 cases of severe heart failure,and 5 cases of coronary artery re occlusion,with a complication rate of 25.0%,which was significantly different from the control group patients,P<0.05.Conclusion:The application effect of PCI in the emergency treatment of elderly patients with DM-AMI is relatively ideal,which can achieve better therapeutic effect and safety,and promote the treatment and recovery of patients.