中老年心肌梗死合并2型糖尿病患者的冠状动脉病变特点  

Characteristics of coronary artery lesions in middle and old aged diabetic patients with myocardial infarction

作　　者：朱小玲[1] 李庆祥[1] 艾辉[1] 李南[1] 孙晓东[1] 

机构地区：[1]首都医科大学附属北京安贞医院北京心肺血管疾病研究所心肺血管疾病医疗抢救中心,北京100029

出　　处：《中国综合临床》2006年第8期687-689,共3页Clinical Medicine of China

摘　　要：目的探讨中老年心肌梗死合并2型糖尿病患者的冠状动脉造影特点。方法对比分析159例2型糖尿病合并心肌梗死患者(糖尿病组)和193例心肌梗死不合并糖尿病患者(未合并糖尿病组)的冠状动脉造影结果。结果与未合并糖尿病患者比较,糖尿病患者非ST段抬高性心肌梗死发生率增多(P<0.05)。糖尿病组三支病变和双支病变发生率明显增高,单支病变发生率明显低于未合并糖尿病组(P<0.01)。糖尿病组左主干病变和弥漫性病变血管支数均高于未合并糖尿病组(P<0.05和P<0.01)。结论中老年2型糖尿病合并心肌梗死患者冠状动脉病变复杂严重。Objective To study the angiography characteristics of coronary artery lesions in middle and old aged type 2 diabetes mellitus （ DM ） patients with myocardial infarction （ MI ）. Methods The angiography results of 193 DM patients with MI and 159 MI patients without DM were compared. Results The DM patients suffered more from non - ST elevation MI than the patients without DM （ P 〈 0.05 ）. The DM patients suffered more from multi - vessel lesions （ P 〈 0.01 ） , left main stem and diffuse lesions （ P 〈 0.05 or 〈 0.01 ）. Conclusions Complicated coronary artery lesion is more common in middle and old age type 2 DM patients with MI.

关 键 词：心肌梗死 血管造影术 糖尿病 

分 类 号：R542.22[医药卫生—心血管疾病]