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目的:回顾性研究2型糖尿病(DM)合并冠心病患者冠脉病变特点以及超声心动图的异常情况,为临床预防及治疗做指导。方法:在我院行冠脉造影确诊为冠心病的患者按是否合并DM分为DM组与非DM组,分析两组超声心动图及冠脉造影特点。结果:2型DM合并冠心病组在冠脉病变特点上以三支病变、左主干、右冠、左回旋支多见;DM组的左房内径、左室舒张期末内径和收缩期末内径以及左室射血分数值与对照组相比有统计学意义。结论:2型DM合并冠心病患者并存心血管危险因素多,病变受累程度高且严重影响心功能。
Objective: To retrospectively study the characteristics of coronary artery disease and echocardiographic abnormalities in patients with type 2 diabetes mellitus (DM) complicated with coronary heart disease and to provide guidance for clinical prevention and treatment. Methods: The patients diagnosed as CHD by coronary angiography in our hospital were divided into DM group and non-DM group according to whether they were combined with DM or not. Echocardiography and coronary angiography were analyzed. Results: The coronary artery lesion in type 2 DM patients with coronary heart disease was characterized by three lesions, left main trunk, right coronary artery and left circumflex coronary artery. Left atrial diameter, end diastolic dimension and end systolic diameter Room ejection fraction was statistically significant compared with the control group. Conclusion: There are many cardiovascular risk factors coexisting with type 2 DM patients with coronary heart disease, and the degree of lesion involvement is high and the cardiac function is seriously affected.