核素心肌灌注显像诊断糖尿病合并冠心病斑块不稳定性的临床作用分析.docVIP

精品论文 参考文献 核素心肌灌注显像诊断糖尿病合并冠心病斑块不稳定性的临床作用分析 王晓燕? 纪建松 朱丽萍 　　[摘 要]目的：分析核素心肌灌注显像诊断糖尿病合并冠心病斑块不稳定性的临床作用。方法：收集我院2012年10月-2013年10月期间诊治的糖尿病合并冠心病患者40例设为观察组，另选同期的40例单纯冠心病患者设为对照组，所有患者均通过核素心肌灌注显像诊断，并在一年后对本组患者实施核素心肌灌注显像随访评估，如果患者为严重缺血和心肌梗死，则同时实施冠状动脉造影检查，分析诊断结果。结果：研究结果显示，两组患者随访前后缺血面积、严重程度、射血分数值变化情况比较具有明显差异(Plt;0．05)。结论：核素心肌灌注显像能够比较全面、准确的评估糖尿病合并冠心病患者的缺血面积、严重程度、射血分数值变化情况，对于糖尿病合并冠心病斑块的不稳定性判定具有非常重要的临床作用，值得在临床应用上推广。 　　[关键词]核素心肌灌注显像 糖尿病 冠心病 斑块不稳定性 临床作用 　　DOI:10.3760/cma.j.issn.0376-2491.2015.28.12 　　作者单位：323000，浙江省丽水市，温州医科大学附属第五医院，浙江省丽水市中心医院 　　The Clinical Effect of Radionuclide Myocardial Perfusion Imaging in the Diagnosis of Diabetic Coronary Plaque Instability 　　Wang Xiaoyan, Ji Jiansong, Zhu Liping 　　Abstract: Objective To analyze the clinical effect of radionuclide myocardial perfusion imaging in the diagnosis of diabetic coronary plaque instability.?Methods 40 patients with diabetic coronary heart disease were collected from October 2012 to October 2013 as the observation group and 40 cases of coronary heart disease patients were selected as the control group. All patients were diagnosed by radionuclide myocardial perfusion imaging, and follow-up was conducted one year late. Severe ischemia and myocardial infarction patients accepted the implementation of coronary angiography examination and the diagnosis results were analyzed.?Results The follow-up show that the ischemic area, severity, ejection fraction before and after the two groups have obvious difference (P lt; 0.05).???Conclusion Comparatively speaking, radionuclide myocardial perfusion imaging can comprehensively and accurately assess the ischemic area, severity, ejection fraction value changes in the diabetic patients with coronary heart disease. It has a very important clinical role for diabetic coronary plaque instability and is worth popularization in clinical application. 　　Key words: radionuclide myocardial perfusion imaging; diabetes; coronary heart disease; plaque instability; clinical role 　　随着医学研究的