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目的:研究与分析高龄冠心病合并糖尿病患者的冠脉介入治疗效果。方法:选取我院在2014年9月~2016年9月收治的120例高龄冠心病合并糖尿病患者作为研究对象,根据研究所需将所选患者随机分为研究组(60例)与对照组(60例)。两组患者在入院后均进行冠心病常规治疗与冠脉介入治疗,对照组患者在冠脉介入治疗后给予术后常规管理,研究组患者在冠脉介入治疗后给予术后综合管理,对两组患者的治疗效果展开分析与对比。结果:经治疗结果得出,对照组患者中有10例患者支架邻近血管管腔直径狭窄程度≥50%,研究组患者中有1例患者架邻近血管管腔直径狭窄程度≥50%,结果存在差异,具有统计学意义(P<0.05);在冠脉介入治疗成功率和临床不良反应状况上,两组结果均无差异,不具有统计学意义(P>0.05)。结论:在高龄冠心病合并糖尿病患者中应用冠脉介入治疗及术后综合护理能够有效改善患者临床症状,稳定患者血糖水平,使患者病情得到良好控制。
Objective: To study and analyze the effect of coronary intervention in elderly patients with coronary heart disease complicated with diabetes mellitus. Methods: A total of 120 elderly patients with coronary heart disease and diabetes mellitus admitted from September 2014 to September 2016 in our hospital were selected as study subjects. According to the study, the patients were randomly divided into study group (60 cases) and control group ( 60 cases). After admission, both groups were given conventional treatment of coronary heart disease and coronary intervention. Patients in the control group were given routine management after coronary intervention. Patients in the study group were given postoperative management after coronary intervention. Group of patients with the treatment effect analysis and comparison. Results: The results of the treatment showed that in 10 patients in the control group, the stenosis of adjacent vessel lumen diameter was ≥50%. One patient in the study group had a stenosis of ≥50% of the adjacent vessel lumen diameter and the result existed (P <0.05). There was no difference between the two groups in the success rate of coronary intervention and clinical adverse reactions, and there was no statistical significance (P> 0.05). Conclusion: Coronary interventional therapy and comprehensive postoperative care in elderly patients with coronary heart disease complicated with diabetes can effectively improve the clinical symptoms, stabilize the blood glucose level of the patients and make the patients’ condition well controlled.