血管内超声指导下介入治疗糖尿病合并冠脉左主干病变效果研究
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摘要
目的探讨血管内超声指导下介入治疗糖尿病合并冠脉左主干病变的效果。方法选取该科2017年4月—2018年4月收治的糖尿病合并冠脉左主干病变患者54例,随机分为两组各27例,观察组采用IVUS指导PCI治疗,对照组采用CAG指导PCI治疗。结果观察组FPG、2 hPG显著低于对照组(P<0.05);观察组心脏不良事件发生率为7.4%,显著低于对照组33.3%(P<0.05)。结论对糖尿病合并冠脉左主干病变患者行IVUS指导下介入治疗,有助于提高手术效果,减少术后心脏不良事件。
Objective To investigate the effect of interventional treatment of diabetic patients with left main coronary artery disease under the guidance of intravascular ultrasound. Methods A total of 54 patients with diabetes mellitus and left main coronary artery disease admitted from April 2017 to April 2018 were randomly divided into two groups: 27 patients each.The observation group was treated with IVUS for PCI, and the control group was treated with CAG for PCI. Results The FPG and 2 hPG in the observation group were significantly lower than those in the control group(P<0.05). The incidence of cardiac adverse events in the observation group was 7.4%, which was significantly lower than that in the control group(33.3%)(P<0.05). Conclusion IVUS-guided interventional therapy for patients with diabetes mellitus and left main coronary artery disease can improve the surgical outcome and reduce postoperative cardiac adverse events.
Objective To investigate the effect of interventional treatment of diabetic patients with left main coronary artery disease under the guidance of intravascular ultrasound. Methods A total of 54 patients with diabetes mellitus and left main coronary artery disease admitted from April 2017 to April 2018 were randomly divided into two groups: 27 patients each.The observation group was treated with IVUS for PCI, and the control group was treated with CAG for PCI. Results The FPG and 2 hPG in the observation group were significantly lower than those in the control group(P<0.05). The incidence of cardiac adverse events in the observation group was 7.4%, which was significantly lower than that in the control group(33.3%)(P<0.05). Conclusion IVUS-guided interventional therapy for patients with diabetes mellitus and left main coronary artery disease can improve the surgical outcome and reduce postoperative cardiac adverse events.
引文
[1]刘华云,鄢华,刘道权,等.血管内超声在冠心病左主干病变介入诊疗中的指导价值研究[J].中国心血管杂志,2016,4(11):276.
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[3]杨青.血管内超声指导左主干病变介入治疗的疗效分析[J]中华预防医学与临床医学,2015,23(6):132.
[4]邹宜覃,王倩.冠状动脉左主干远端病变介入治疗的预后因素研究[J].大家健康,2017,11(9下旬版):421-422.
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[7]梁鸿彬,郭谦,张新禄,等.血管内超声指导急性冠脉综合征患者冠状动脉非左主干临界病变治疗的临床效果[J].南方医科大学学报,2017,5(13):219-220.
[8]刘烝昊,董平栓,靳钰.血管内超声在无保护左主干病变介入诊疗中的临床应用[J].中华老年心脑血管病杂志,201517(5):534-536.
[2]田塬,柯永胜.血管内超声在左主干病变介入治疗中的应用[J].国际心血管病杂志,2016,3(34):176.
[3]杨青.血管内超声指导左主干病变介入治疗的疗效分析[J]中华预防医学与临床医学,2015,23(6):132.
[4]邹宜覃,王倩.冠状动脉左主干远端病变介入治疗的预后因素研究[J].大家健康,2017,11(9下旬版):421-422.
[5]刘志东.老年冠心病冠状动脉介入术后心脏不良事件的回顾性分析[J].中国实用医药,2016(4):101-102.
[6]刘浙波,夏豪,方钊,等.益心舒胶囊对冠心病经皮冠状动脉介入术后患者发生心血管不良事件的影响[J].广西医学2016,13(4):546.
[7]梁鸿彬,郭谦,张新禄,等.血管内超声指导急性冠脉综合征患者冠状动脉非左主干临界病变治疗的临床效果[J].南方医科大学学报,2017,5(13):219-220.
[8]刘烝昊,董平栓,靳钰.血管内超声在无保护左主干病变介入诊疗中的临床应用[J].中华老年心脑血管病杂志,201517(5):534-536.