摘要
目的:探讨冠心病合并糖尿病病人冠状动脉病变的特点。方法:对我院行冠状动脉造影确诊为冠心病的196例病人进行回顾性分析,其中冠心病合并糖尿病者80例,单纯冠心病者116例。对两组病人的临床特点及冠脉病变特点进行分析。结果:两组资料在年龄、性别、体重指数、吸烟、血压比较,均无显著性差异(P>0.05)。冠心病合并糖尿病组胆固醇、三酰甘油、低密度脂蛋白胆固醇均高于单纯冠心病组(P<0.05)。冠心病合并糖尿病组高密度脂蛋白低于单纯冠心病组(P<0.05),冠心病合并糖尿病组冠状动脉病变的狭窄程度重、多支及弥漫性病变发生率高(P>0.05)。结论:冠心病合并糖尿病病人多有血脂异常,其病变侵犯血管分布与单纯冠心病病人无明显差异,但冠心病合并糖尿病者多病变程度重,常为多支病变或弥漫性病变。
Objective：To investigate features of coronary artery lesion in coronary heart disease（CHD） patients with diabetes mellitus（DM）.Methods：A total of 196 CHD patients with coronary angiography（CAG） were analysed retrospectively.They were divided into two groups：80 cases of CHD patients with DM and 116 cases of CHD patients with normal glucose level（control group）.Clinical characteristics and CAG results were recorded and compared between two groups.Results：There were no differences in age,sex,smoking,body mass indices,the incidence of hypertension between the two groups（P0.05）.The levels of cholesterol as well as triglyceride,low density lipoprotein cholesterol in the CHD with DM group were much higher than those in the control group（P0.05）.High density lipoprotein cholesterol in the CHD with DM group were much lower than those in the control group（P0.05）.Compared with the control group,patients in the CHD with DM group suffered more moderate and severe stenosis of coronary artery,multi-vessel lesions and diffuse vessel lesions（P0.05）.Conclusion：CHD patients with DM are prone to having simultaneously many other risks of CHD,their coronary lesions are more severe and complicated multi-vessel lesions and diffuse vessel lesions.
出处
《内蒙古医学院学报》
2010年第3期281-284,共4页
Acta Academiae Medicinae Neimongol
基金
内蒙古自治区应用技术研究与开发项目(09)
关键词
冠状动脉造影
冠心病
糖尿病
coronary angiography
coronary heart disease
diabetes mellitus
