冠心病合并2型糖尿病患者冠状动脉影像学特点分析  

CORONARY ARTERIOGRAPHY IN DETECTING CORONARY HEART EISEASE AND TYPE-Ⅱ DIABETES

作　　者：牛纪华[1] 刘新宇[1] 张建忠[1] 吕德[1] 田相同[1] 

机构地区：[1]临沂市中医医院,山东临沂276002

出　　处：《山东医学高等专科学校学报》2008年第6期437-439,共3页Journal of Shandong Medical College

摘　　要：目的探讨冠心病合并2型糖尿病患者冠状动脉病变影像学的特点。方法将选择性冠状动脉造影确诊为冠心病168例中的66例2型糖尿病患者作为观察组,其余102例无糖尿病患者作为对照组。对比分析两组患者的临床特点及冠状动脉造影结果。结果两组在年龄、性别、体重指数等方面无显著性差异(P>0.05)。观察组胆固醇、甘油三酯、低密度脂蛋白均高于对照组(P<0.05);冠状动脉病变的狭窄程度重、多支病变和弥漫性病变发生率显著高于对照组(P<0.05)。结论冠心病合并2型糖尿病患者冠脉病变复杂,病情程度严重,多支病变和弥漫性病变增多。Objective To explore the image characteristics of pathogens in patients with coronary heart disease and Type Ⅱ diabetes.Methods Of the 168 cases of coronary heart disease,66 cases were confirmed Type Ⅱ diabetes in the observation group,and other 102 cases formed the contrast group.The clinical and image characteristics were contrasted and analyzed.Results No significant differences were found in age,sex and body weight between the two groups.The observation group had higher levels of cholesterol,triglyceride and low density lipoprotein（LDL） than the contrast group（P〈0.05）.The stenosis,highly branched lesion and diffuse lesion proved to be greater in the observation group than in the contrast group（P〈0.05）.Conclusion Coronary heart disease and Type Ⅱ diabetes make lesions more complex,severe and highly branched and make lesions defuse increasingly.

关 键 词：冠状动脉造影术 冠心病 糖尿病 

分 类 号：R541.4[医药卫生—心血管疾病]