李源糖尿病患者行心脏搭桥的效果研究.docxVIP

糖尿病患者行心脏搭桥的效果研究摘要：目的：探讨糖尿病患者行心脏搭桥的效果。方法：于2015年1月到2016年1月间，在我院选择糖尿病患者行心脏搭桥的40例患者设为糖尿病组，另选择同时期非糖尿病行心脏搭桥的40例患者设为非糖尿病组，对比两组患者的治疗效果。结果：糖尿病组患者住院时间、尿路感染发生率、呼吸道感染发生率、死亡率与非糖尿病组相比无差异，P＞0.05，差异不具备统计学意义。糖尿病组患者疗后PT、TT、APTT水平与非糖尿病组相比明显较低，糖尿病组患者疗后FIB水平与非糖尿病组相比明显较高，P＜0.05，差异具备统计学意义。结论：糖尿病患者行心脏搭桥的效果良好，治疗安全性较高，但术后易出现凝血功能异常，需加强临床监测。关键词：糖尿病；心脏搭桥；效果Abstract: Objective: To investigate the effect of diabetic patients undergoing heart bypass. Methods: in January 2015 to between 1 January 2016. In our hospital choice of diabetic patients undergoing heart bypass in 40 cases of patients were divided into diabetic group, choose the same period non diabetic heart bypass the 40 cases of patients were divided into non DM group, treatment effects were compared between the two groups. Results: in the diabetic patients hospitalization time, urinary tract infection rate, respiratory tract infection incidence, mortality, and non diabetes group compared with no difference, P 0.05, the difference does not have statistical significance. Therapy in patients with diabetes mellitus group of Pt, TT, APTT level and non diabetes Disease group was significantly lower than, diabetes group after the treatment of patients in FIB level and non diabetes group is significantly higher, P 0.05, the difference has statistical significance. Conclusion: the effect of diabetic patients undergoing heart bypass is good, treatment of high security, but postoperative prone to abnormal coagulation function, strengthen the clinical monitoring.Key words: diabetes mellitus; heart bypass; effect冠心病是临床常见疾病，是因冠状动脉血管粥样硬化病变、血管管腔狭窄甚至阻塞，引起患者出现的心肌缺血、缺氧、坏死等相关症状[1]。近年来，随着人类生活方式及生活习惯的改变，冠心病的发病率症呈上升趋势。冠心病患者极易出现心肌梗死、心律失常、猝死等，致死率及致残率均较高，严重影响患者生活质量及生命安全。心脏搭桥手术是当前临床治疗冠心病的常用治疗方法。而当前研究结果显示，糖尿病是冠心病的独立危险因素，糖尿病将会加重冠心病患者病情。因此，此次研究中探讨糖尿病患者行心脏搭桥的效果及安全性，以期为临床治疗冠心病合并糖尿病提供参考。以下进行具体报道。1 资料与方法1.1 一般资料于2015年1月到2016年1月间，在我院选择糖尿病患者行心脏搭桥的40例患者设为糖尿病组，另选择同时期非糖尿病行心脏搭桥的40例患者设为非糖尿病组，所有患者糖尿病诊断均参照WHO的相关诊断标准；冠心病诊断均采取冠状动脉造影或心电图检查等相关检查确诊；均排除严重内科疾病；所有患者均能自主表达意愿；均自愿配合研究。冠状