摘要
Abstract
Objective To investigate the impact of diabetes mellitus ( DM ) on prognosis of patients with acute myo-cardial infarction ( AMI) who underwent primary percutaneous coronary intervention ( PCI ). Methods The data of 794 AMI patients undergoing PCI from 2010 to 2011 were analyzed retrospectively. The patients were divided into DM group ( n = 175 ), the others into control group ( n = 619 ). The clinical features, angiographic results, post - operative TIMI flow and hospital mortality were observed to evaluate prognosis. Results As compared with control group, age, hypertension, onset to treatment time, pre - operative TIMI flow 0 degree, number of diseased vessels, IRA - time, post - operative non - occurrence rate of re-flow or slow flow, hospital mortality increased, while the proportion of males, smoking, left ventricular ejection fraction, rate of post - operative TIMI flow 3 degree, ST segment drop rate decreased, the difference was significant ( P < 0. 05 ). Logistic regression analysis showed that DM was an independent risk factor influencing hospital mortality after PCI [ OR = 2. 034, 95% CI ( 0. 976, 3. 988 ), P=0. 031 ]. Conclusion Post -PCI heart function and tissue perfusion are poor and hospital mortality is high in DM patients. Attention should be paid to these clinical features, and cares and intervention be strengthened.关键词
糖尿病/经皮冠状动脉介入治疗/心肌梗死/预后Key words
Diabetes mellitus/ Percutaneous coronary intervention/ Myocardial infarction/ Prognosis分类
医药卫生
