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目的探讨冠心病(CHD)合并2型糖尿病患者的冠状动脉造影特点。方法从冠状动脉造影病例中选取86例(其中冠心病合并2型糖尿病46例,单纯冠心病40例),进行血生化和血管造影资料对比分析。结果与单纯冠心病组比较,冠心病合并2型糖尿病组甘油三脂(TC)水平高;四支病变比例高(17.5%比8.7%,P<0.05),单支病变比例低(17.5%比26.1%,P<0.05),且血管狭窄程度重(狭窄程度≥75%的比例为65.4%比61.3%,P<0.05)。结论合并2型糖尿病与不合并2型糖尿病的冠心病患者的冠状动脉造影表现的差异有统计学意义,前者冠状动脉病变更加广泛和严重。
Objective To investigate the characteristics of coronary angiography in patients with coronary heart disease (CHD) and type 2 diabetes mellitus. Methods 86 cases were selected from coronary angiography (including 46 cases of type 2 diabetes mellitus with coronary heart disease and 40 cases of simple coronary heart disease). The data of blood biochemistry and angiography were compared. Results Compared with simple coronary heart disease group, the level of triglyceride (TC) in coronary heart disease complicated with type 2 diabetes mellitus was high; the proportions of four lesions were higher (17.5% vs 8.7%, P <0.05) 26.1%, P <0.05), and the degree of stenosis was more severe (65.4% vs 61.3%, P <0.05). Conclusions There is significant difference in coronary angiography between patients with type 2 diabetes mellitus and those with type 2 diabetes mellitus. The former has more extensive and severe coronary artery disease.