冠心病合并2型糖尿病患者的临床特征及冠状动脉病变特点  

Analysis of Both Clinical Characteristics and Features of Their Coronary Angiographies among CHD Patients Complicated by Type-2 DM

作　　者：尹浩晔[1] 高雪梅[1] 周馨[1] 

机构地区：[1]天津市人民医院心脏中心,天津300121

出　　处：《中国慢性病预防与控制》2009年第2期151-153,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的探讨冠心病合并2型糖尿病患者的临床特征和冠状动脉病变特点。方法对经冠状动脉造影诊断的伴2型糖尿病(108例)和不伴2型糖尿病(103例)的冠心病患者的临床特点和冠状动脉造影结果进行比较。结果与非糖尿病的冠心病组相比,冠心病合并2型糖尿病组高血压、血脂异常率升高(P<0.05),体质指数及血尿酸水平升高(P<0.01),血脂异常以甘油三酯增高和高密度脂蛋白胆固醇降低为主要特点;冠状动脉病变严重,主要表现在3支病变和多支多节段病变,分别占33%和35%;左室射血分数较低,为(41.33±2.80)%。结论冠心病并发2型糖尿病患者常有多种心血管危险因素聚集,冠状动脉多支病变常见,心功能较差。Objective To explore the clinical characteristics of coronary heart disease （CHD） companied by type-2 diabetes mellitus （DM） and features of their coronary angiographies. Methods The data of clinical characteristics and coronary angiography results of 108 CHD cases with T2DM and 103 CHD eases without T2DM were compared and analyzed. Results Compared with the cases of CHD without diabetes mellitus, the cases of CHD with T2DM exhibited significantly increased incidence rates of hypertension and dyslipidemia. The body mass index and serum uric acid level also increased obviously. The main manifestation of dystipidemia of CHD patients with T2DM was the higher levels of triglycerides and lower level of serum high-density lipoprotein cholesterol. And the severe coronary artery disease and lower left ventricular ejection fraction were often found in CHD patients with T2DM Conclusion CHD patients with type-2 DM tend to have muhiple cardiovascular-risk factors, and often have multi-branches lesion and more severe lesions.To treat cardiovascular risk factors actively is very important to prevent the CHD and improve its prognosis.

关 键 词：冠心病 糖尿病 2型 冠状动脉造影 

分 类 号：R587.1[医药卫生—内分泌] R54[医药卫生—内科学]