冠心病合并2型糖尿病患者的冠状动脉造影分析  

Clinical Analysis of Coronary Angiography In Coronary Heart Disease with Type 2 Diabetes Mellitus

作　　者：许晓红[1] 杨波[1] 王秀芝[1] 

机构地区：[1]赤峰市医院心血管内科,内蒙古赤峰024000

出　　处：《内蒙古医学杂志》2007年第3期270-272,共3页Inner Mongolia Medical Journal

摘　　要：目的:探讨冠心病(CHD)合并2型糖尿病(T2DM)患者的冠状动脉造影特点。方法:从冠状动脉造影住院病例中选取585例(其中冠心病合并糖尿病283例,单纯冠心病302例)比较糖尿病与非糖尿病患者冠状动脉病变的特点,包括病变程度、累及的血管数目。结果:与非糖尿病组比较,糖尿病组左回旋支(LCX)、右冠状动脉(RCA)发生病变的比例高于非糖尿病组(均P<0.05),且血管狭窄的程度较重(狭窄程度≥75%的比例为61.1%比52.3%),3支血管均发生病变的比例显著增高(49.1%比40.1%,P<0.01),而单支病变比例低(13.0%比21.5%,P<0.01)。结论:合并2型糖尿病患者与非糖尿病患者的冠状动脉造影表现的差异有统计学意义,前者冠状动脉病变的程度较重、受累的血管数目较多。Objective： To study the angiographic characteristics of coronary heart disease（CHD）in CHD patients with type 2 diabetes mellitus. Methods： 585 hospitalized patients underwent a selective angiography were analyzed, compare the characteristics of coronary artery disease, the severity of lesion and the number of lesion vessels were compared in CHD patients with type- 2 diaketes mellitus （2 - DM groups） and nondiabetic groups. Results： In 2- DM groups, abnormal LCX and RCA were found frequently（P 〈 0.05）, and higher degree of stenosis（stenosis≥75 % was61.1% vs 52.3 % ）, three - vessel disease was higher（49.1% vs35 %, P〈 0.05）. Instead, onevessel disease was lower（ 13.1% vs 21.5 %, P 〈 0.01） than nondiabetic groups. Conclusion： The angiographic characteristics are different in CHD patients with or without type 2 diabetes mellitus. Patients with 2 - DM is associated with more severity of lesion and more lesion vessel.

关 键 词：冠心病 2型糖尿病 冠状动脉造影 

分 类 号：R541.4[医药卫生—心血管疾病]