双源CT对有胸痛症状的2型糖尿病患者冠状动脉病变的筛查价值分析  

Screening Value of Dual- source CT on Coronary Artery Lesion in Type 2 Diabetes Mellitus Patients with Chest Pain

作　　者：彭葆坤[1] 唐哲[1] 王毅鹏[1] 朱丽芹[1] 翁晓春[1] 王瑛[1] 

机构地区：[1]昆明医科大学附属延安医院内分泌科,云南省昆明市650051

出　　处：《实用心脑肺血管病杂志》2015年第3期80-82,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：云南省教育厅科学研究基金项目(2011C097):糖尿病性心脏病冠状动脉病变早期评估的双源CT研究

摘　　要：目的分析双源CT(DSCT)对有胸痛症状的2型糖尿病患者冠状动脉病变的筛查价值。方法选取2010年10月—2013年10月昆明医科大学附属延安医院住院部收治的有胸痛症状的120例患者,依据血糖检测结果分为观察组(2型糖尿病患者)和对照组(非糖尿病患者),每组60例。两组患者均行DSCT扫描,比较两组患者冠状动脉病变支数及冠状动脉狭窄程度。结果观察组患者冠状动脉病变支数多于对照组,冠状动脉狭窄程度重于对照组(P<0.05)。结论有胸痛症状的2型糖尿病患者冠状动脉病变严重程度较非糖尿病患者更为严重,病变范围更广,DSCT适宜作为其筛查方法。Objective To analyze the screening value of dual-source CT on coronary artery lesion in type 2 diabetes mellitus patients with chest pain. Methods A total of 120 patients with chest pain were selected in In-patient Department of Yan′an Hospital Affiliated to Kunming Medical University from October 2010 to October 2013,and they were divided into control group and observation group according to blood glucose detection results,each of 60 cases. Patients of both groups received dual-source CT scan,the number and severity of coronary artery stenosis were compared between the two groups. Results The number of coronary artery stenosis of observation group was more than that of control group,and the severity of coronary artery stenosis of observation group was more severe than that of control group （ P 〈0. 05 ）. Conclusion The severity of coronary artery stenosis of type 2 diabetes mellitus patients with chest pain is more severe and widely than patients without diabetes mellitus,dual-source CT can be a proper screening method in type 2 diabetes mellitus patients with chest pain.

关 键 词：胸痛 糖尿病 2型 体层摄影术 螺旋计算机 冠状动脉疾病 

分 类 号：R441.1[医药卫生—诊断学] R541.4[医药卫生—临床医学]