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目的:分析冠心病合并2型糖尿病患者的冠状动脉造影结果,并评估冠脉内支架置入术的临床疗效。方法:比较206例冠心病合并糖尿病患者(A组)与492例无糖尿病冠心病患者(B组)的冠状动脉造影结果,并比较118例冠心病合并糖尿病患者(C组)与311例无糖尿病冠心病患者(D组)冠脉内支架置入术的疗效。结果:与无糖尿病冠心病相比,冠心病合并糖尿病的冠脉病变更复杂、更严重,外科冠状动脉旁路术多(36.89% vs 19.10%, P<0.05)。两组即刻手术成功率高(100%vs99.68%),前组无严重并发症发生。结论:冠心病合并糖尿病患者冠脉内支架置入术安全有效,能显著降低心脏不良事件发生率。
Objective: To analyze the results of coronary angiography in patients with coronary heart disease complicated with type 2 diabetes mellitus and evaluate the clinical effect of coronary stenting. Methods: The results of coronary angiography in 206 patients with coronary heart disease complicated with diabetes mellitus (group A) and 492 patients with non-diabetic coronary heart disease (group B) were compared and compared between 118 patients with coronary heart disease and those with diabetes (group C) and 311 patients without diabetes Coronary heart disease patients (group D) coronary stent placement. Results: Coronary artery disease complicated with diabetes was more complicated and severe than coronary artery disease without coronary artery disease (36.89% vs 19.10%, P <0.05). Immediate success rate of the two groups was high (100% vs 99.68%), no serious complications occurred in the former group. Conclusion: Coronary heart disease with coronary stent implantation in patients with diabetes is safe and effective, can significantly reduce the incidence of adverse cardiac events.