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目的:研究糖耐量试验观察冠心病糖代谢异常对冠脉病变程度的影响。方法:随机选择142例进行冠脉造影术的非糖尿病患者,其中70例确诊冠心病为观察组,根据冠脉病变程度再分轻重2组,72例非冠心病患者为对照组,均进行糖耐量试验及糖化血红蛋白测定。结果:冠心病组餐后2 h血糖(9.53±3.24)mmol/L,高于非冠心病组(6.47±1.52)mmol/L,P<0.05;冠脉狭窄程度与餐后2 h血糖之间呈显著性低度正相关(r为0.337,P<0.01)。结论:冠心病患者糖耐量受损明显,糖耐量试验对冠心病糖代谢异常的临床观察具有重要性。
Objective: To study the effect of glucose tolerance test on the severity of coronary lesions in patients with coronary heart disease. Methods: A total of 142 non-diabetic patients undergoing coronary angiography were randomly selected, of whom 70 were diagnosed as coronary heart disease and were divided into 2 groups according to the degree of coronary artery disease. 72 patients with non-coronary heart disease were control group, Tolerance test and glycosylated hemoglobin determination. Results: The blood glucose (9.53 ± 3.24) mmol / L at 2 h after coronary heart disease was higher than that of non-coronary heart disease patients (6.47 ± 1.52 mmol / L, P <0.05). The degree of coronary artery stenosis was There was a significant positive correlation (r = 0.337, P <0.01). Conclusion: Impaired glucose tolerance is significant in patients with coronary heart disease. The clinical observation of glucose tolerance test in patients with coronary heart disease due to glucose tolerance test is of great importance.