【摘要】 目的研究急诊PTCA治疗糖尿病并急性心肌梗死对患者心功能的保护作用。方法对45例2型糖尿病并急性心肌梗死患者施行急诊PTCA(PCTA组),并与同期48例2型糖尿病并急性心肌梗死而未行PTCA者(非PTCA组)进行比较,分别观察入院时、住院24h及发病3个月的心功能分级(Killip分级)和发病3个月的心脏左室射血指数(LVEF)值。结果两组患者入院时的心功能分级差异无显著意义;住院24h和发病3个月的心功能分级及发病3个月的EF均PTCA组明显优于未行PTCA组。结论急诊PTCA能较好保护糖尿病并急性心肌梗死患者的心功能。更多还原

【Abstract】 Objective To explore the protected effect of acute myocardial infarction with diabetic patients after emergency percutaneous transluminal coronary angioplasty(PTCA).Methods The clinical cardiac function classification(Killip classification) and left ventricular ejection fraction(LVEF) in the period of hospitalizing,hospitalization after 24 hours and AMI after 3 months were compared between.45 AMI patients with 2-type diabetic who had underwent emergency PTCA(PTCA group) and 48 AMI patients with 2-type diabetic without undergoing emergency PTCA(no-PCTA group).Results The difference of the Killip classification and LVEF in the period of hospitalizing between PCTA group and no-PCTA group had no significance(P>0.05),and the Killip classification and LVEF in the period of hospitalization after 24 hours and AMI after 3 months in PTCA group were significantly improved compared with that in no-PCTA group(P<0.05).Conclusion Emergency PTCA in acute myocardial infarction with diabetic patients can better protect the patients’ cardiac function.更多还原