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冠心病临界病变合并糖调节异常介入治疗的临床观察 被引量:2

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摘要 目的观察冠状动脉临界病变合并糖调节异常的冠心病患者行介入治疗的预后。方法入选51例冠状动脉临界病变合并糖调节异常的冠心病患者,根据治疗方法不同分为单纯药物治疗34例(对照组)和介入治疗(药物+经皮冠状动脉介入治疗)17例(观察组),术后随访12个月,观察两组患者主要临床症状(再发心绞痛、心力衰竭)及主要心血管事件[靶血管再次介入治疗、远期(12个月)生存率]发生情况。结果观察组再发心绞痛、心力衰竭明显少于对照组(35.29%vs.73.53%、11.76%vs.44.12%,P=0.020、0.030);而两组在靶血管再次介入治疗以及远期(12个月)生存率比较,差异无统计学意义(11.76%vs.26.47%、5.88%vs.8.82%,P=0.297、1.000)。结论冠心病临界病变合并糖调节异常介入治疗虽可以改善部分临床症状,但不能明显降低主要心血管事件发生率。
出处 《重庆医学》 CAS 北大核心 2016年第7期966-968,共3页 Chongqing medicine
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参考文献16

  • 1Haffner SM, Lehto S, R6nnemaa T, et al. Mortality fromcoronary heart disease in subjects with type 2 diabetes and in nondiabetic subjects with and without prior myocardial infarction[J]. N Engl J Med, 1998,339(4) : 229-234.
  • 2National cholesterol education program. The third report of the national cholesterol education program(NCEP)ex- pert panel on detection, evaluation, and treatment of high blood cholesterol in aduhs(aduh treatment panel llI) final report[J]. Circulation,2002,106 (25) :3142-3143.
  • 3Bartnik M, Ryd6n L, Ferrari R, et al. The prevalence of abnormal glucose regulation in patients with coronary ar- tery disease across europe. The euro heart survey on dia- betes and the heart[J]. Eur Heart J,2004,25 (21): 1880- 1890.
  • 4Obata Y,Yamada Y,Kyo M,et al. Serum adiponectin lev- els predict the risk of coronary heart disease in Japanese patients with type 2 diabetes [J]. J Diabetes Investig, 2013,4(5) :475-482.
  • 5Tobis J, Azarbal B, Slavin L. Assessment of intermediate severity coronary lesions in the catheterization laboratory [J]. J Am Coil Cardiol,2007 ,49(8) :839-848.
  • 6Agostoni P, Biondi-Zoceai GG, De Benedictis ML, et al. Radial versus femoral approach for percutaneous coronary diagnostic and interventional procedures;systematic over- view and meta-analysis of randomized trials[J]. J Am Coll Cardiol, 2004,44(2) : 349-356.
  • 7Chaitman BR, Hartigan PM, Booth DC, et al. Do major cardiovascular outcomes in patients with stable ischemic heart disrt in the clinical outcomes utilizing revasculariza- tion and aggressive drug evaluation trial differ by health- care system? [J]. Circ Cardiovasc Qual Outcomes,2010, 3(5) :476-783.
  • 8袁勇,李明星,冯力,董剑廷,孙艳香,张励庭,黄炫生,韩莹,邓志华.冠状动脉临界病变行介入治疗预后的临床观察[J].临床心血管病杂志,2013,29(5):338-340. 被引量:5
  • 9Courtis J, Rods-Cabau J, Larose E, et al. Comparison of medical treatment and coronary revascuJ.arization in pa- tients with moderate coronary lesions and borderline frac- tional flow reserve measurements[J]. Catheter Cardiovasc Interv, 2008,71 (4) : 541-548.
  • 10Pijls NH,Van Schaardenburgh P,Manoharan G, et al. Pereu- taneous coronary intervention of functionally nonsignificant stenosis:5-year follow-up of the DEFER Study[J]. J Am Coll Cardiol,2007,49(21) :2105-2111.

二级参考文献20

  • 1中国心脏调查组,胡大一,潘长玉.中国住院冠心病患者糖代谢异常研究——中国心脏调查[J].中华内分泌代谢杂志,2006,22(1):7-10. 被引量:471
  • 2夏敏,施亚明,吴春阳.活动平板试验对冠心病诊断及介入疗效的评价作用[J].心电学杂志,2006,25(1):11-12. 被引量:13
  • 3陈家伦,许曼音.餐后高血糖与心血管病[J].中华内分泌代谢杂志,2006,22(3). 被引量:39
  • 4林少达,林楚佳,黄天华,陈小华,王伟.2型糖尿病合并冠心病患者的促心肌素-1水平[J].中国糖尿病杂志,2007,15(4):233-234. 被引量:4
  • 5卫生部医政司.卫生部心血管疾病介人诊疗技术培训教程冠心病分册:143-155,237-240.
  • 6Pijls NH, Van Schaardenburgh P, Manoharan G, et al. Percutaneous coronary intervention of functionally nonsignificant stenosis : 5 - year follow- up of the DEFER study [ J]. J Am Coll Cardiol, 2007, 49(21): 2105 -2111.
  • 7Expert Panel on Detection,Evaluation,and Treatment ofHigh Blood Cholesterol in Adults.Executive summary ofthe third report of the National Cholesterol EducationProgram(NCEP)Expert Panel on Detection,Evaluation,and Treatment of High Blood Cholesterol in Adults(A-dult Treatment PanelⅢ)[J].JAMA,2001,285(19):2486-2497.
  • 8Bartnik M,Ryden L,Ferrari R,et al.The prevalence ofabnormal glucose regulation in patients with coronary ar-tery disease across Europe.The Euro Heart Survey ondiabetes and the heart.Eur Heart J,2004,25:1880-1890.
  • 9Unwin N,Shaw J,Zimmet P,et al.Impaired glucose tol-erance and impaired fasting glycaemia:the current statuson definition and intervention.Diabet Med,2002,19:708-723.
  • 10TOBIS J, AZARBAL B, SLAVIN L. Assessment of intermediate severity coronary lesions in the catheter- ization laboratory[J]. J Am Coll Cardiol, 2007,49.. 839-848.

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