冠心病伴糖代谢异常患者冠状动脉病变特征分析  

Characteristics of coronary artery lesion in patients with coronary heart disease complicated by glycometabolic disorder

作　　者：赵玉珍[1] 王宝河 毕长华[1] 董亦学[1] 杜雪平[1] 任康[1] 高素艳[1] 

机构地区：[1]中国石油天然气集团公司中心医院内分泌科,河北省廊坊市065000 [2]中国石油集团石油职业卫生技术服务中心,河北省廊坊市065000

出　　处：《中国临床康复》2004年第30期6612-6613,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:通过分析糖代谢异常冠心病患者冠状动脉病变特征,旨在加强糖尿病患者心血管疾病的早期治疗和预防。方法:患者选自中国石油天然气集团公司中心医院因冠心病住院行冠状动脉造影(coronaryarteriongraphy,CAG)患者119例。分为糖代谢异常冠心病组(55例),单纯冠心病组(64例)。对两组间年龄、性别、血压、血脂、血糖及冠脉病变支数、病变范围、病变程度进行统计学分析。结果:①糖代谢异常冠心病组多支冠脉病变发生率(76%)明显高于单纯冠心病组(47%)(χ2=4.90,P<0.05)。②糖代谢异常冠状动脉弥漫性病变明显多于单纯冠心病组,但差异无显著性意义(P>0.05)。③糖代谢异常冠心病组与单纯冠心病组冠状动脉狭窄指数分别为9.97±4.26,9.54±4.23,差异无显著性意义(P>0.05)。结论:糖代谢异常冠心病患者冠状动脉多支病变及冠状动脉弥漫病变均明显高于单纯冠心病患者。AIM:To analyze the features of coronary artery lesion in patients with coronary heart disease(CHD) complicated by glycometabolic disorder (GD), so as to enhance the early prevention and treatment for cardiovascular disease in patients with diabetes mellitus (DM). METHODS: Totally 119 CHD inpatients were examined by coronary arteriongraphy (CAG) in the Central Hospital of China National Petroleum Corporation. They were divided into CHD complicated by GD group(study group,n=55) and simple CHD group (control group,n=64), and age, gender, blood pressure, blood glucose, triglyceride (TG), total cholesterol (TC) and high density lipoprotein cholesterol(HDL C) and the number, range and degree of coronary artery lesion were analyzed statistically between the two groups.RESULTS: ①The incidence rate of multi vessel coronary lesion in the study group (76%) was obviously higher than that in the control group(47%) (χ2=4.90, P< 0.05). ②The coronary artery diffusing lesions were obviously more in the study group than in the control group, but there was insignificant difference (P >0.05). ③There was no significant difference in the coronary stenosis index between the study group (9.97±4.26) and the control group (9.54±4.23) (P >0.05).CONCLUSION: The incidence rates of multi vessel coronary lesion and coronary artery diffusing lesion are obviously higher in the CHD patients with GD than in the simple CHD patients.

关 键 词：冠状动脉疾病/预防和控制 葡萄糖/代谢 脑血管意外/病因学 糖尿病 非胰岛素依赖型 

分 类 号：R541.4[医药卫生—心血管疾病]