老年2型糖尿病合并冠心病患者冠状动脉造影及临床特点分析  

Clinical and coronary angiographic features in elderly patients with type 2 diabetes mellitus combined with coronary heart disease

作　　者：贾勤惠[1] 李志枚[1] 宁红霞[1] 李广兰[1] 周建忠[1] 闫丽惠[1] 

机构地区：[1]兰州军区乌鲁木齐总医院,新疆乌鲁木齐830000

出　　处：《中华老年心脑血管病杂志》2005年第6期371-373,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的了解老年2型糖尿病合并冠心病患者的临床及冠状动脉病变的造影特点。方法对185例经冠状动脉造影诊断的老年冠心病患者分为两组:有糖尿病组(DM)和无糖尿病组(NDM),分析比较了两组的临床表现及冠状动脉病变的造影特点。结果(1)两组间年龄、吸烟、高血压及心肌梗死率的差异均无显著性意义。甘油三酯(TG)水平DM组较NDM组高(P<0.05)。(2)两组病变血管数量及侧支循环形成情况比较差异无显著性,两组的病变血管分布状况相似。(3)两组冠脉狭窄支数、狭窄程度比较差异均无显著性,DM组的冠脉狭窄范围较NDM组广泛(3.17vs2.44,P<0.05),DM组冠状动脉狭窄<50%的血管片段数高于NDM组。结论老年糖尿病合并冠心病患者的冠状动脉更倾向于弥漫性病变,高TG可加重DM的冠状动脉病变。Objective To evaluate the clinical and coronary angiographic features in elderly patients with type 2 diabetes mellitus（NIDDM） combined with coronary heart disease （CHD）. Methods A total of 185 cases confirmed by coronary angiography were divided into two groups according to the status if they had combined with NIDDM or not. The study was carried out by case-control analysis of the clinical presentation and the data from angiograms. Results High triglyceride was found in the group of NIDDM combined with CHD. The results showed no significant differences between the NIDDM and nondiabetes groups in the numbers of total coronary segments involved and the severity of culprit lesion. The patients with diabetes had a significantly higher ＂extent of coronary vessel involvement＂. Conclusion The elderly CHD patients with and without NIDDM have similar in numbers and severity of coronary vessel involved, but the elderly CHD patients with NIDDM have much greater extent of coronary vessel involvement.

关 键 词：糖尿病 非胰岛素依赖型 冠状动脉疾病 冠状血管造影术 危险因素 

分 类 号：R587.1[医药卫生—内分泌]