老年冠心病合并糖尿病患者的冠状动脉病变特点分析  

Features of Coronary Lesions of Coronary Heart Disease Patients Complicated with Diabetes

作　　者：朱海鹏[1] 胡曼云[2] 

机构地区：[1]江苏省如皋市人民医院心内科,226500 [2]贵阳市第四人民医院内分泌科

出　　处：《实用心脑肺血管病杂志》2015年第10期99-102,共4页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：贵州省卫生厅科学技术项目(gzwkj2013-1-110)

摘　　要：目的分析老年冠心病合并糖尿病患者的冠状动脉病变特点。方法选取如皋市人民医院2012年3月—2015年2月收治的老年冠心病患者248例(年龄>60岁),根据是否合并糖尿病分为糖尿病组和非糖尿病组,各124例。分析两组患者基本资料(包括性别、年龄、吸烟史及高血压、高脂血症发生情况)、入院24 h内实验室检查结果〔包括总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)水平〕、冠状动脉造影检查结果(包括冠状动脉病变支数、病变部位、病变程度)。结果两组患者性别、年龄、高血压发生率、高脂血症发生率、吸烟史阳性率及TC、TG、HDL、LDL水平比较,差异无统计学意义(P>0.05)。糖尿病组患者冠状动脉病变支数多于非糖尿病组,左前降支(LAD)、左回旋支(LCX)、右冠状动脉(RCA)病变发生率及Gensini积分均高于非糖尿病组(P<0.05);两组患者左主干(LM)病变发生率比较,差异无统计学意义(P>0.05)。结论老年冠心病合并糖尿病患者冠状动脉病变支数较单纯冠心病患者多,且病变常累及LAD、LCX及RCA,病变程度更严重。Objective To explore the features of coronary lesions of coronary heart disease patients complicated with diabetes.Methods A total of 248 patients with coronary heart disease were selected in the People＇ s Hospital of Rugao from March 2012 to February 2015,thereinto 124 patients complicated with diabetes were served as A group,other 124 patients did not complicated with diabetes were served as B group.General information（including gender,age,smoking history,incidence of hypertension and hyperlipidaemia）,laboratory examination results within 24 hours after admission（including levels of TC,TG,HDL-C and LDL-C）and coronary angiography results（including number,regions and severity of stenosed coronary vessels）of the two groups were analyzed.Results No statistically significant differences of gender,age,incidence of hypertension or hyperlipidaemia,positive rate of smoking history,level of TC,TG,HDL-C or LDL-C was found between the two groups（P〉0.05）.The number of stenosed coronary vessels of A group was statistically significantly more than that of B group,incidence of stenosed LAD,LCX,RCA,and Gensini score of A group were statistically significantly higher than that of B group（P〈0.05）; while no statistically significant differences of incidence of stenosed LM was found between the two groups（P〉0.05）.Conclusion The number of stenosed coronary vessels of coronary heart disease patients complicated with diabetes is more than that of patients with single coronary heart disease,stenosed LAD,LCX and RCA are common and the severity is more severe.

关 键 词：冠心病 糖尿病 2型 冠状动脉疾病 

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