冠心病合并2型糖尿病患者冠状动脉病变特点分析
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[摘要] 目的:探讨2型糖尿病合并冠心病患者冠状动脉造影临床及冠状动脉的病变特点。方法:选择42例2型糖尿病合并冠心病患者作为糖尿病组,随机抽取同期冠状动脉造影的无2型糖尿病的冠心病患者45例为对照组,采用Judkins法行冠状动脉造影,对两组患者冠状动脉造影结果进行对比分析。结果:糖尿病合并冠心病的患者病变复杂,多呈弥漫性的血管病变且多合并心功能不全,而对照组的患者多以单支单处病变为主,病变较简单。冠状动脉造影结果示C型病变糖尿病组(71.4%)显著高于对照组(11.1%)(P<0.01),A型病变糖尿病组(9.6%)显著低于对照组(68.9%)(P<0.01),B型病变两组分别为19.0%和20.0%,无显著性差异(P>0.05)。结论:糖尿病合并冠心病患者较无糖尿病的冠心病患者病变复杂,累及的血管多、范围广,其冠状动脉病变为多支弥漫病变。
[关键词] 冠心病;2型糖尿病;冠状动脉病变;冠状动脉造影
[中图分类号] R541.4[文献标识码]A [文章编号]1673-7210(2010)02(c)-054-02
Analysis of coronary artery lesion characteristics in type 2 diabetes mellitus patients complicated with coronary heart disease
SUN Ying, TONG Yuhong
(Cardiovascular Division, the Central Hospital of Yingkou City, Yingkou 115000, China)
[Abstract] Objective: To explore the clinical characteristics of coronary arteriographies and coronary artery lesion. Methods: 42 cases of type 2 diabetes mellitus patients complicated with coronary heart disease were as diabetes mellitus group (DM group), 45 cases of those had no type 2 diabetes mellitus were as control group, Judkins method was used to have coronary arteriographies, and the results were analyzed ......
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