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目的探讨2型糖尿病合并冠心病冠状动脉造影的临床特点。方法回顾分析105例患者的临床资料。结果冠心病合并2型糖尿病组与对照组各方面无明显统计学差异,但在血脂方面糖尿病组的三酰甘油(TG)、低密度脂蛋白-胆固醇(LDL-C)水平明显升高(P<0.05),高密度脂蛋白-胆固醇(HDL-C)水平明显下降(P<0.05)。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型糖尿病合并冠心病患者冠状动脉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。因此,一定要严格控制糖尿病患者的血糖,严格控制血压、血脂等引起血管损伤的因素。
Objective To investigate the clinical features of type 2 diabetes mellitus patients with coronary artery disease under coronary angiography. Methods The clinical data of 105 patients were retrospectively analyzed. Results There was no significant difference between CHD patients with type 2 diabetes mellitus and controls. However, the levels of triglyceride (TG) and low density lipoprotein cholesterol (LDL-C) were significantly increased in diabetic group (P <0.05), HDL-C level decreased significantly (P <0.05). The incidence of multivessel disease and diffuse lesions in type 2 diabetic patients with coronary heart disease complicated with type 2 diabetes mellitus was significantly higher than that in control group (P <0.05), while the incidence of single vessel and double vessel angiography was significantly lower than that in control group (P <0.05) . Conclusions Patients with type 2 diabetes mellitus and coronary heart disease have more coronary vessel lesions than non-diabetic patients with coronary artery disease. Multi-vessel disease is prone to occur and vascular lesions are diffuse. Therefore, we must strictly control the blood glucose in patients with diabetes, strict control of blood pressure, blood lipids and other factors that cause vascular damage.