冠心病合并糖尿病者冠脉造影结果分析  

Analysis of coronary angiographic findings in patients with coronary artery disease complicated diabetes mellitus

作　　者：冯剑[1] 吴玉萍[1] 李志芳[1] 

机构地区：[1]山东省潍坊市人民医院急诊科,261041

出　　处：《中国实用医药》2008年第16期64-65,共2页China Practical Medicine

摘　　要：目的通过冠脉造影探讨冠心病合并糖尿病者冠脉病变特点。方法回顾我院2000-2006年1068例冠心病患者造影检查阳性者对380例糖尿病合并冠心病者行冠脉造影,并与688例非糖尿病的冠心病患者相比较。结果糖尿病并冠心病者三支病变和弥漫性病变者分别为56.8%和58%,明显高于非糖尿病者(21.5%和16%)。结论冠心病并糖尿病者冠脉造影主要表现为多支病变及复杂病变,而非糖尿病者多为单支或双支病变,糖尿病组冠脉狭窄程度明显高于非糖尿病组,显示糖尿病对冠脉病变影响大,糖尿病为冠心病的独立危险因素。Objective To investigate the findings of coronary artery angiography in patients with coronary artery disease complicated diabetes mellitus. Methods The angiographic findings of 1 068 coronary artery disease patients from 2000 to 2006 were reviewed. Among them,380 were diatetic ,688 were nondiabetics. Results 3-or-more-vessel or multiple stenosis are the main expression among the patients of coronary artery disease complicated diabetes. 1-vessel or 2-vessel disease are the main expression among the nondiabetics. Conclusion Coronary artery disease patients with diabetes mellitus have more severe changes in coronary artery. Diabetes is the independent risk factor. Diabetes have great influences to coronary artery.

关 键 词：冠心病 糖尿病 冠状动脉造影术 

分 类 号：R541.4[医药卫生—心血管疾病] R587.1[医药卫生—内科学]