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作 者:耿旭[1] 周开恩 李倩 梁子舜 金娟 李晨源 陈天平[1] GENG Xu;ZHOU Kai-en;LI Qian;LIANG Zi-shun;JIN Juan;LI Chen-yuan;CHEN Tian-ping(Department of Cardiology,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004;School of Clinical Medicine,Bengbu Medical College,Bengbu Anhui 233030,China)
机构地区:[1]蚌埠医学院第一附属医院心内科,安徽蚌埠233004 [2]蚌埠医学院临床医学院,安徽蚌埠233030
出 处:《蚌埠医学院学报》2022年第9期1214-1216,共3页Journal of Bengbu Medical College
基 金:国家级大学生创新训练计划项目(202010367016);蚌埠医学院自然科学重点项目(BYKY2019080ZD)。
摘 要:目的:探索2型糖尿病(T2DM)合并冠心病(CHD)病人的冠状动脉病变特点,分析不同冠状动脉病变支数与氧化应激水平的相关性。方法:选择接受冠状动脉造影的病人198例,根据是否有T2DM病史分为T2DM合并CHD组65例和CHD组133例,检测2组临床相关指标,根据冠状动脉造影结果分析不同冠状动脉病变支数与丙二醛(MDA)及超氧化物歧化酶(SOD)的相关性。结果:T2DM合并CHD组MDA水平明显高于CHD组(P<0.01),SOD水平低于CHD组(P<0.05),2支及以上冠状动脉病变比例高于单纯CHD组(P<0.01);T2DM合并CHD组病人中,1支冠状动脉病变组SOD水平高于2支及以上冠状动脉病变组,MDA水平低于2支及以上冠状动脉病变组(P<0.01)。结论:T2DM合并CHD组病人氧化应激水平高于单纯CHD组,且冠状动脉病变加重;随着T2DM合并CHD病人冠状动脉病变支数加重,氧化应激水平升高。Objective:To explore the characteristics of coronary artery lesions in patients with type 2 diabetes mellitus(T2 DM)complicated with coronary heart disease(CHD),and to analyze the correlation between the number of coronary artery lesions and the level of oxidative stress.Methods:A total of 198 patients who underwent coronary angiography were divided into two groups according to whether they had T2 DM history:65 patients in T2 DM combined with CHD group and 133 patients in CHD group.The clinic-related indexes of the two groups were measured.The correlation between the number of different coronary artery lesions and malondialdehyde(MDA)and superoxide dismutase(SOD)was analyzed according to the results of coronary angiography.Results:The level of MDA in the T2 DM combined with CHD group was higher than that in the CHD group(P<0.01),that and the level of SOD was lower than that in the CHD group(P<0.05).The proportion of two or more coronary artery lesions in the T2 DM group with CHD was higher than that in the CHD group(P<0.01).In the T2 DM combined with CHD group,the level of SOD in the group with one coronary artery lesion was higher than that in the group with two or more coronary artery lesions,and the level of MDA was lower than that in the group with two or more coronary artery lesions(P<0.01).Conclusions:The oxidative stress level of T2 DM patients with CHD is higher than that of CHD alone,and the coronary artery disease is more severe.The oxidative stress level increases with the aggravation of the number of coronary artery lesions.
分 类 号:R541.4[医药卫生—心血管疾病] R587.1[医药卫生—内科学]
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