2型糖尿病合并冠心病患者冠状动脉造影特点分析  

The features of coronary angiography in coronary heart disease patients complicated with type 2 diabetes mellitus

作　　者：李庆祥[1] 徐方兴[1] 艾辉[1] 李楠[1] 罗平[1] 杜如跃[1] 朱小玲[1] 颜红兵[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抢救中心,100029

出　　处：《北京医学》2006年第9期528-530,共3页Beijing Medical Journal

摘　　要：目的探讨2型糖尿病合并冠心病(CHD)患者的冠状动脉造影特点。方法对冠状动脉造影诊断为冠心病的446例2型糖尿病患者和512例非糖尿病患者的冠脉造影结果进行对比分析。结果糖尿病组高血压286例(64.1%),心肌梗死160例(35.9%),血清甘油三酯〔(2.10±1.48)mmol/L〕和体质指数〔(25.28±13.41)kg/m2〕均高于非糖尿病组(P<0.05)。2型糖尿病合并冠心病患者较多发生多支病变、弥漫性病变(P<0.05),行冠状动脉搭桥术(CABG)、药物治疗的概率高于非糖尿病组(P<0.05)。结论2型糖尿病合并冠心病患者冠状动脉病变复杂严重。Objective To study the angiography characteristics of coronary heart disease （CHD）complicated with type 2 diabetes mellitus（DM）. Methods A total of 958 CHD patients confirmed by coronary angiography were divided into two groups based on the concurrence with DM（446 patients）or not（512 patients）. Results The DM patients suffered more from myocardial infarction, hypertension than the patients without DM （P〈0.05）. The DM patients had higher serum triglycerides and BMI than the patients without DM（P〈0.05 ）. The DM patients suffered more from multi-vessel lesions and diffuse lesions（P〈0.05）. The DM patients had more CABG operation and medical treatment than the patients without DM （P〈0.05）. Conclusions Diffuse and complicated lesions of coronary arteries are more common in the patients without CHD and type 2 DM.

关 键 词：血管造影术 冠心病 糖尿病 

分 类 号：R587.1[医药卫生—内分泌]