论文部分内容阅读
目的探讨冠心病(CHD)合并糖尿病(DM)患者冠状动脉造影的临床特点。方法 143例经冠状动脉造影确诊为冠心病患者,根据有无合并糖尿病分为DM组(62例)和非DM组(81例),比较两组患者的一般情况、血脂和冠状动脉病变范围和程度。结果两组年龄、体质量指数(BMI)、吸烟、高血压(HBP)比较,差异均无统计学意义(P>0.05),DM组总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)均高于非DM组(P<0.05),DM组高密度脂蛋白胆固醇(HDL-C)低于非DM组(P<0.05),DM组冠状动脉重度狭窄、闭塞、弥漫性病变、3支及以上病变发病率高于非DM组(P<0.05)。结论 DM组冠状动脉病变累及范围广而且程度重。
Objective To investigate the clinical features of coronary angiography in coronary heart disease (CHD) with diabetes mellitus (DM). Methods A total of 143 patients diagnosed as CHD by coronary angiography were divided into DM group (n = 62) and non-DM group (81 group) according to the presence or absence of diabetes mellitus. The general situation, the range of lipid and coronary artery disease degree. Results There was no significant difference in age, body mass index (BMI), smoking and high blood pressure (HBP) between the two groups (P> 0.05). The total cholesterol, triglyceride, (P <0.05). The levels of HDL-C in DM group were lower than those in non-DM group (P <0.05). Severe coronary stenosis was found in DM group, Occlusion, diffuse lesions, the incidence of three or more lesions than non-DM group (P <0.05). Conclusion The DM group has a wide range of coronary lesions and a great degree of severity.