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目的评价老年急性冠状动脉综合征(ACS)合并糖尿病患者PCI的效果和预后。方法选择年龄>65岁的老年ACS行PCI患者232例,按是否合并糖尿病分为合并组(76例)和非合并组(156例),两组均行药物洗脱支架置入,合并组急诊PCI 17例(22.4%),非合并组急诊PCI 41例(26.3%)。随访6个月～4年,观察两组患者手术成功率、住院期间和远期心脑血管事件发生率。结果合并组患者女性和3支血管病变比例明显高于非合并组(P<0.05,P<0.01)。合并组和非合并组PCI成功率比较差异无统计学意义(97.5%vs 97.6%,P>0.05)。两组术后并发症、住院期间和远期心脑血管事件发生率比较差异无统计学意义(P>0.05)。结论ACS合并糖尿病患者PCI成功率高,PCI安全有效。
Objective To evaluate the effect and prognosis of PCI in elderly patients with acute coronary syndrome (ACS) and diabetes. Methods A total of 232 elderly patients with ACS aged 65 years undergoing PCI were divided into two groups according to whether they had diabetes or not: 76 patients in the combined group and 156 patients in the non-combined group. All patients were enrolled in the study. PCI in 17 cases (22.4%), non-combined group of emergency PCI in 41 cases (26.3%). The patients were followed up for 6 months to 4 years. The success rate of operation, incidence of cardiovascular events during hospitalization and long-term were observed. Results The proportions of female and 3 vessels in the combined group were significantly higher than those in the non-combined group (P <0.05, P <0.01). There was no significant difference in PCI success rate between the combined group and the non-combined group (97.5% vs 97.6%, P> 0.05). There was no significant difference in postoperative complications, hospitalization and long-term cardiovascular and cerebrovascular events between the two groups (P> 0.05). Conclusions ACS patients with diabetes mellitus have a high success rate of PCI and safe and effective PCI.