冠心病合并2型糖尿病患者临床介入治疗观察(1)
DOI：10.16662/j.cnki.1674-0742.2017.07.052
[摘要] 目的 观察冠心病合并2型糖尿病患者的临床介入治疗效果。方法 方便择选该院2014年11月—2016年11月收治的120例冠心病合并2型糖尿病患者作为该文研究对象，按随机数字表法分成研究组与对照组，各60例。所有患者进行CI介入治疗，对照组实施常规管理，研究组给予综合管理，对两组的PCI成功率、支架再狭窄程度及术后不良反应展开观察与对比。结果 研究组PCI治疗成功57例(95.00%)，对照组56例(93.33%)；治疗后两组患者的血糖水平均得到改善，研究组改善效果优于对照组(P<0.05)；对照组有3例冠脉造影支架内狭窄程度≥50，研究组未出现此种情况，相比较差异有统计学意义(P<0.05)；两组术后并发症发生率差异有统计学意义(P<0.05)。结论 针对冠心病合并2型糖尿病患者进行临床介入治疗能够取得十分显著的治疗效果，安全性较高，临床价值重大。
[关键词] 冠心病；糖尿病；治疗观察
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2017)03(a)-0052-03
Observation on Clinical Intervention Treatment for Patients with Coronary Heart Disease Combined with Type 2 Diabetes
ZHAO Bin1， GUO Zhen1， SUN Yu-feng2， LI Xue-ping1
First Internal Medicine-Cardiovascular Department， Cangxian Hospital， Cangxian， Hebei Province， 061000 China；2. Cangxian Hospital Heart Medicine，Cangxian，Hebei Province，061000 China
[Abstract] Objective To observe the clinical intervention treatment for patients with coronary heart disease combined with type 2 diabetes. Methods 120 cases of patients with coronary heart disease combined with type 2 diabetes admitted and treated in our hospital from November 2014 to November 2016 were convenient selected and randomly divided into two groups with 60 cases in each， all patients adopted the CI interventional treatment， the control group adopted the routine management， while the research group adopted the general management， and the PCI success rate， stent restenosis degree and postoperative adverse reaction were compared between the two groups. Results The PCI success rate was 95.00% in the research group and 93.33% in the control group， after treatment， the improvement effect of blood sugar level in the research group was better than that in the control group(P<0.05)， and there were 3 cases whose coronary artery angiography in-stent restenosis ≥50 in the control group， but no one in the research group， and the difference had statistical significance(P<0.05)， and the difference in the incidence rate of complications after operation between the two groups had statistical significance， P<0.05. Conclusion The clinical interventional treatment for patients with coronary heart disease combined with type 2 diabetes is very obvious with high safety and high clinical value.
[Key words] Coronary heart disease； Diabetes； Treatment observation
冠心病合并2型糖尿病是當前医学临床常见病症之一，其病情相较于单一病症更为复杂，疾病恶化程度也更高，这使得该疾病的临床治疗时常面临许多难题[1]。冠心病合并2型糖尿病病症在临床中发生血管病变现象的时机往往较早，并且大部分患者在患病期间也会出现不同程度的多支病变现象，发生严重冠状动脉病变的几率十分高，因此临床往往采取综合干预的方式来应对疾病发展[2]。当前，冠心病合并2型糖尿病的常见治疗方法有PCI介入治疗，该治疗方式是近几年医学临床获得广泛认可的治疗方法，其术后预后效果也较为理想，是当前治疗冠心病合并2型糖尿病的首选治疗方案[3]。对此，该文方便择选该院2014年11月—2016年11月所收治的120例冠心病合并2型糖尿病患者作为研究对象，对临床治疗效果展开观察与分析，现将详细结果，现报道如下。, 百拇医药(赵彬 郭震 孙玉凤 李雪萍)
[摘要] 目的 观察冠心病合并2型糖尿病患者的临床介入治疗效果。方法 方便择选该院2014年11月—2016年11月收治的120例冠心病合并2型糖尿病患者作为该文研究对象，按随机数字表法分成研究组与对照组，各60例。所有患者进行CI介入治疗，对照组实施常规管理，研究组给予综合管理，对两组的PCI成功率、支架再狭窄程度及术后不良反应展开观察与对比。结果 研究组PCI治疗成功57例(95.00%)，对照组56例(93.33%)；治疗后两组患者的血糖水平均得到改善，研究组改善效果优于对照组(P<0.05)；对照组有3例冠脉造影支架内狭窄程度≥50，研究组未出现此种情况，相比较差异有统计学意义(P<0.05)；两组术后并发症发生率差异有统计学意义(P<0.05)。结论 针对冠心病合并2型糖尿病患者进行临床介入治疗能够取得十分显著的治疗效果，安全性较高，临床价值重大。
[关键词] 冠心病；糖尿病；治疗观察
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742(2017)03(a)-0052-03
Observation on Clinical Intervention Treatment for Patients with Coronary Heart Disease Combined with Type 2 Diabetes
ZHAO Bin1， GUO Zhen1， SUN Yu-feng2， LI Xue-ping1
First Internal Medicine-Cardiovascular Department， Cangxian Hospital， Cangxian， Hebei Province， 061000 China；2. Cangxian Hospital Heart Medicine，Cangxian，Hebei Province，061000 China
[Abstract] Objective To observe the clinical intervention treatment for patients with coronary heart disease combined with type 2 diabetes. Methods 120 cases of patients with coronary heart disease combined with type 2 diabetes admitted and treated in our hospital from November 2014 to November 2016 were convenient selected and randomly divided into two groups with 60 cases in each， all patients adopted the CI interventional treatment， the control group adopted the routine management， while the research group adopted the general management， and the PCI success rate， stent restenosis degree and postoperative adverse reaction were compared between the two groups. Results The PCI success rate was 95.00% in the research group and 93.33% in the control group， after treatment， the improvement effect of blood sugar level in the research group was better than that in the control group(P<0.05)， and there were 3 cases whose coronary artery angiography in-stent restenosis ≥50 in the control group， but no one in the research group， and the difference had statistical significance(P<0.05)， and the difference in the incidence rate of complications after operation between the two groups had statistical significance， P<0.05. Conclusion The clinical interventional treatment for patients with coronary heart disease combined with type 2 diabetes is very obvious with high safety and high clinical value.
[Key words] Coronary heart disease； Diabetes； Treatment observation
冠心病合并2型糖尿病是當前医学临床常见病症之一，其病情相较于单一病症更为复杂，疾病恶化程度也更高，这使得该疾病的临床治疗时常面临许多难题[1]。冠心病合并2型糖尿病病症在临床中发生血管病变现象的时机往往较早，并且大部分患者在患病期间也会出现不同程度的多支病变现象，发生严重冠状动脉病变的几率十分高，因此临床往往采取综合干预的方式来应对疾病发展[2]。当前，冠心病合并2型糖尿病的常见治疗方法有PCI介入治疗，该治疗方式是近几年医学临床获得广泛认可的治疗方法，其术后预后效果也较为理想，是当前治疗冠心病合并2型糖尿病的首选治疗方案[3]。对此，该文方便择选该院2014年11月—2016年11月所收治的120例冠心病合并2型糖尿病患者作为研究对象，对临床治疗效果展开观察与分析，现将详细结果，现报道如下。, 百拇医药(赵彬 郭震 孙玉凤 李雪萍)