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目的探讨冠心病合并2型糖尿病冠状动脉造影特点。方法回顾分析80例患者的临床资料。结果冠心病合并2型糖尿病组的多支血管病变及弥漫性病变的发生率明显高于对照组(P<0.05),而单支和双支血管病变发生率明显低于对照组(P<0.05)。结论 2型糖尿病是冠心病的独立危险因素,其病变血管支数多于非糖尿病冠心病患者,易发生多支病变,且病变血管弥漫,且冠心病合并2型糖尿病患者的预后较单纯冠心病患者差;临床积极控制血糖、血脂对减轻患者冠脉粥样硬化的发生和改善预后具有重要意义。
Objective To investigate coronary angiography in patients with coronary heart disease complicated with type 2 diabetes mellitus. Methods The clinical data of 80 patients were retrospectively analyzed. Results The incidence of multivessel disease and diffuse lesions in CHD patients with type 2 diabetes mellitus was significantly higher than that in control group (P <0.05), while the incidence of single and double vessel disease was significantly lower than that in control group (P <0.05 ). Conclusion Type 2 diabetes mellitus is an independent risk factor for coronary heart disease. The number of vascular lesions in patients with coronary artery disease is more than that in non-diabetic patients with coronary artery disease. Multi-vessel disease is prone to occur and type 2 diabetes mellitus is diffuse. Patients with poor; clinical active control of blood glucose, blood lipids in patients with coronary atherosclerosis and improve the prognosis of great significance.