论文部分内容阅读
目的:观察老年冠心病合并糖尿病患者冠脉药物支架置入的远期疗效。方法:选择老年冠心病合并糖尿病行冠脉药物支架置入102例为观察组,随机选择同期、同年龄段冠心病无糖尿病行冠脉药物支架置入100例为对照组;均随访5年,观察项目包括术后并发症发生率、心绞痛复发率、脑卒中、非心源性病死率等。结果:两组支架置入术成功率均为100.0%;随访5年无失访病例;两组术后并发症发生率(8.8%、7.0%)、脑卒中发生率(3.9%、3.0%)比较,差异均不显著(P>0.05);观察组与对照组术后心绞痛复发率(42.1%、30.0%)、非心源性病死率(9.8%、2.0%)比较,观察组均显著高于对照组(P<0.05)。结论:高龄患者冠脉内置入药物洗脱支架远期疗效尚可,但糖尿病仍是不良预后的独立影响因素。
Objective: To observe the long-term effect of coronary stent implantation in elderly patients with coronary heart disease and diabetes mellitus. Methods: A total of 102 elderly patients with coronary heart disease complicated with coronary artery disease were enrolled in this study. One hundred patients with coronary artery disease without diabetes mellitus were enrolled as the control group randomly at the same period and at the same age. All patients were followed up for 5 years, Observation items include the incidence of postoperative complications, recurrence rate of angina, stroke, non-cardiac mortality and so on. Results: The success rate of stent implantation was 100.0% in both groups. There was no case of follow-up for 5 years. The incidence of postoperative complications (8.8%, 7.0%), the incidence of stroke (3.9%, 3.0% (P> 0.05). The recurrence rate of angina (42.1%, 30.0%) and non-cardiac mortality (9.8%, 2.0%) in observation group and control group were significantly higher than those in observation group In the control group (P <0.05). Conclusion: The long-term effect of coronary stent implantation in elderly patients is acceptable, but diabetes is still an independent factor of poor prognosis.