摘要
目的分析冠心病合并糖代谢异常是否影响经皮冠状动脉介入治疗(PCI)冠心病的疗效及术后住院期间的不良事件的发生,并对此类患者的冠状动脉病变特点进行分析。方法对2009年10月至2011年4月在四川省南江县人民医院进行诊疗的39例冠心病合并糖代谢异常的患者和41例糖代谢正常的冠心病患者进行回顾性分析。对其冠状动脉病变情况进行分析,并通过计算得出行PCI的成功率,血管造影的成功率和最后的临床疗效,从而明确糖代谢异常所带来的影响。结果血管造影显示,冠心病合并糖代谢异常的患者组血管多支病变的检出率比糖代谢正常的患者组要高,且病变严重程度更甚,更容易累及到小的冠状动脉分支(P<0.05)。两组患者的PCI成功率(89.1%和90.2%)、血管造影的成功率(92.1和93.8%)以及最后的临床疗效(84.7%和90.7%)差异无统计学意义(P>0.05)。结论冠心病合并糖代谢异常的患者的血管病变程度比糖代谢正常的冠心病患者更加严重、复杂。糖代谢异常不是影响PCI成功率、造影成功率以及临床疗效独立危险因素。
Objective To analyse the influence that if patient with glyconetabolic disorder will affect the treatment of PCI and the appearance of major adverse cardiac events.Then the features of coronary arteries in this disease will be discussed.Methods By analysing conditions of 39 patients suffered coronary heart disease complicated with glyconetabolic disorder and 41 who only have coronary heart disease from Oct.2009 to Apr.2011,who are treated in Nanjiang People＇s Hospital,to calculate the success rate of PCI,blood vessel visualization and clinical cure.By doing this,the influence will be clear to us.Results The relevance ratio of multivessel disease in the group which members suffer from glyconetabolic disorder is more than the other group.Beside,the condition of the disease is more serious and likely to injury small coronary artries.（P0.05）.The success rate of two groups are 89.1% and 90.2% in PCI,92.1% and 93.8% in blood vessel visualization,84.7% and 90.7% in the final clinical cure,respectively（P0.05）.Conclusion Patients who suffer from coronary disease complicated with glyconetabolic disorder are more dangerous than the other group members.However,glyconetabolic disorder is not the determinative factor to the success rate of PCI,blood vessel visualization and clinical cure.
出处
《中国医药指南》
2011年第22期180-181,共2页
Guide of China Medicine
关键词
冠心病
糖代谢异常
临床分析
Coronary heart disease
Glyconetabolic disorder
Clinical analysis
