不同病程糖尿病患者冠状动脉CT血管造影特征  

Study Of Different Patients With Diabetic Coronary Ct Angiography Characteristics

作　　者：黄柏锋[1] 赖海辉[1] 林强[1] 钟柳城[1] 张法宁 程传虎[1] 肖俊强[1] 曾燕文 杜玉斌[2] 

机构地区：[1]广东省惠州市第一人民医院放射科,516001 [2]广东省惠州市第一人民医院心内科,516001

出　　处：《现代医用影像学》2016年第3期475-477,共3页Modern Medical Imageology

基　　金：惠州市科技计划项目(2015Y114)

摘　　要：目的：对不同病程糖尿病患者冠状动脉CT血管造影（CCTA）的临床特征进行探讨。材料与方法：对2013年7月-2015年7月我院内科收治的117例糖尿病患者的冠状动脉CT血管造影资料进行回顾分析,根据病程差异分为A组（5年之内）和B组（5年以上）,分别为61例、56例,对比分析两组CCTA的临床特征。结果：通过对比分析,B组的冠状动脉狭窄发生率为38.4%,明显高于A组的23.5%,差异有统计意义（P〈0.05）;两组冠状动脉累计病变率,及冠状动脉钙化积分均存在差异,有统计意义（P〈0.05）。结论：对于糖尿病患者应在早期采取CT血管造影进行冠心病筛查,可提高检出率,加强预防性治疗,临床意义重大。Purpose： The clinical characteristics of patients with coronary CT angiography（ CCTA） to explore different course of diabetes. Materials and Methods： Took a study form July 2013- July 2015 of our hospital department treated117 patients with diabetes coronary CT angiography were retrospectively analyzed,according to the duration difference divided into group A（ within 5 years） and group B（ 5 year or more）,respectively,in 61 cases,56 cases,comparative analysis of the clinical characteristics of the two groups CCTA. Results： The comparative analysis of coronary artery stenosis in group B was38. 4%,significantly higher than 23. 5% A group,the difference was statistically significant（ P〈0. 05）; two groups of coronary artery disease cumulative rate,and coronary artery calcification score are differences,there are statistically significant（ P〈0. 05）. Conclusion： For patients with diabetes should take CT angiography of coronary heart disease at an early stage screening can improve the detection rate,strengthen preventive therapy,clinical significance.

关 键 词：糖尿病 冠状动脉 CT血管造影 

分 类 号：R587.2[医药卫生—内分泌] R816.2[医药卫生—内科学]