合并2型糖尿病的冠心病患者临床特点  

The Clinical Features of Type 2 Diabetes Mellitus Patients with Coronary Heart Disease

作　　者：夏建珍[1] 王吉云[2] 王国宏[2] 

机构地区：[1]北京市大兴区红星医院内科,北京100076 [2]首都医科大学附属北京同仁医院心血管中心,北京100730

出　　处：《中国医药导刊》2012年第3期411-412,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨合并与非合并2型糖尿病(DM)的冠心病(CHD)患者临床特点。方法:经冠脉造影已确诊的CHD患者193例,依据是否合并DM分为DM组85例,非DM组108例,对两组患者临床特点进行分析比较。结果:DM组患者高血压史,高血脂史,收缩压,脉压差,空腹血糖,糖化血红蛋白,甘油三酯,低密度脂蛋白,纤维蛋白原高于非DM组患者,高密度脂蛋白低于非DM组;从冠脉病变看,DM组三支病变发生率,Gensini评分高于非DM组(P均<0.05)。结论:DM组患者冠脉病变复杂严重,因此应积极控制患者血糖,血压,体重,血脂及纤维蛋白原。Objective：The clinical features of type 2 diabetes mellitus patients with coronary heart disease.Methods：193 cases have been confirmed by coronary angiography in patients with coronary heart disease,Depending on whether diabetes is divided into diabetic group（n=85 cases）,Non-diabetic group（n=108 cases）,Were analyzed and compared the clinical characteristics of the two groups of patients.Results：Diabetic patients with history of hypertension,history of high cholesterol,systolic blood pressure,pulse pressure,fasting glucose,glycosylated hemoglobin,triglycerides,LDL,fibrinogen than non-diabetic patients.The high-density lipoprotein less than non-diabetic group;From coronary artery disease,three lesions of the diabetic group the incidence of Gensini ＇score higher than non-diabetic group（P0.05）.Conclusions：Diabetic patients with complex coronary lesions and serious,and should actively control blood sugar,blood pressure,weight,blood lipids and fibrinogen.

关 键 词：冠心病 2型糖尿病 冠状动脉病变 

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