刘文星 王晓军 甄毅锋

【摘要】目的 探讨行经皮冠状动脉介入手术（percutaneous coronary intervention，PCI）治疗的2型糖尿病合并冠心病患者血糖控制情况与其预后的相关性。方法 94例2型糖尿病合并冠心病患者均接受PCI手术治疗，围术期均给予积极的血糖干预及相同方案的冠心病标准三级预防。根据PCI术后血糖控制情况将本次入选的94例2型糖尿病合并冠心病患者分为A组[糖化血红蛋白水平（5.70±0.46）%]、B组[糖化血红蛋白水平（8.2±0.49）%]，随访6个月记录各组不良心血管事件（major adverse cardiovascular events，MACE）发生情况。结果 两组2型糖尿病合并冠心病患者均顺利完成经皮冠状动脉介入手术及术后6个月随访工作，随访成功率均为100.00%。经研究提示，A组2型糖尿病合并冠心病患者于随访期间MACE发生率（6.98%）显著低于B组（23.53%），数据对比P<0.05。结论 2型糖尿病合并冠心病患者PCI术后血糖控制效果与预后呈显著相关性，积极有效的血糖控制对改善患者预后具有重要价值。

【关键词】2型糖尿病；冠心病；经皮冠状动脉介入手术；预后；血糖控制情况；相关性

【中图分类号】R587.1 【文献标识码】A 【文章编号】ISSN.2095-6681.2017.36..03

【Abstract】Objective Who suffer coronary artery interventional surgery （percutaneous coronary intervention， PCI） for the treatment of type 2 diabetes mellitus and glycemic control in patients with coronary heart disease and its prognosis.Methods 94 patients with type 2 diabetes mellitus and coronary heart disease were treated with PCI surgery，perioperative give positive blood glucose intervention and coronary heart disease （CHD） of the same plan standard tertiary prevention. Based on PCI postoperative blood glucose control is the inclusion of 94 patients with type 2 diabetes mellitus and coronary heart disease were divided into group A （glycated hemoglobin levels （5.70+0.46）%]， group B [glycated hemoglobin levels （8.2+0.49）%].Record each adverse cardiovascular events were followed up for 6 months （major adverse cardiovascular events，MACE） happening.Results Two groups of type 2 diabetes mellitus and coronary heart disease patients were successfully completed percutaneous coronary intervention operation and postoperative follow-up of 6 months work， follow-up success rate is 100.00%.The studies suggest that A group of patients with type 2 diabetes mellitus and coronary heart disease in the incidence of MACE during the follow-up period （6.98%） was significantly lower than group B （23.53%），the data contrast P<0.05.Conclusion Type 2 diabetes mellitus and coronary heart disease （CHD） patients with PCI postoperative blood glucose control effect was significantly associated with outcome， positive and effective glycemic control has important value for improving the prognosis of patients.

【Key words】Type 2 diabetes；Coronary heart disease （CHD）；Percutaneous coronary intervention operation；The prognosis；Blood sugar control situation；The correlation

糖尿病是一種内分泌系统常见病，其中以2型糖尿病所占比例较高，部分患者将合并冠心病从而危及其生活质量、生命安全[1]。研究表明，2型糖尿病是冠心病的独立危险因素之一，经皮冠状动脉介入手术（percutaneous coronary intervention，PCI）因其创伤小、安全性高等特点，已成为目前临床用于治疗2型糖尿病并冠心病的主要方式。本文将选取我院于2015年12月-2017年5月期间收治的94例2型糖尿病合并冠心病并行PCI治疗的患者作为本次研究对象，探讨行PCI治疗后患者血糖控制情况与其预后的相关性，为提高此类患者生活质量、生命安全提供可靠依据，现详述如下。……