急性心肌梗死合并糖尿病患者经皮冠脉介入治疗疗效观察

Therapeutic Effect of Percutaneous Coronary Intervention for Acute Myocardial Infarction Complicated with Diabetes

目的探讨急性心肌梗死合并糖尿病患者经皮冠脉介入治疗效果。方法选取该科2017年7月—2018年7月收治的AMI合并糖尿病患者102例,随机分为2组,各51例,观察组采用PCI治疗,对照组采用常规药物治疗。结果观察组FPG、2 h PG显著低于对照组,LVEF显著高于对照组(P<0.05);观察组心脏不良事件发生率为7.8%,显著低于对照组心脏不良事件发生率25.5%(P<0.05)。结论 AMI合并糖尿病患者采用PCI,能有效恢复患者心肌血流灌注,有利于血糖控制,减少心脏不良事件。

Objective To investigate the effect of percutaneous coronary intervention in patients with acute myocardial infarction complicated with diabetes. Methods A total of 102 patients with AMI and diabetes mellitus admitted to our department from July 2017 to July 2018 were randomly divided into two groups, 51 patients each. The observation group was treated with PCI, and the control group was treated with conventional drugs. Results The FPG and 2 h PG in the observation group were significantly lower than those in the control group, and the LVEF was significantly higher than that in the control group(P<0.05). The incidence of cardiac adverse events in the observation group was 7.8%, which was significantly lower than that in the control group(25.5%),(P<0.05). Conclusion PCI in patients with AMI and diabetes can effectively restore myocardial perfusion, which is beneficial to blood glucose control and reduce adverse cardiac events.