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目的:分析冠心病合并2型糖尿病患者临床表现及冠状动脉病变特点。方法:选取126例冠心病患者作为研究对象,按照患者是否患有合并2型糖尿病将其分为糖尿病组和非糖尿病组,对两组患者的临床表现、并发症及冠状动脉病变特点进行比较。结果:糖尿病组患者的心肌梗死、心律失常、心力衰竭等冠心病并发症高于非糖尿病组,对比差异具有统计学意义(P<0.05);对比冠状动脉病变特点,糖尿病组患者的三大分支血管病变方面单支、三支血管病变与非糖尿病组患者对比差异具有统计学意义(P<0.05)。结论:冠心病合并2型糖尿病在临床中并发症多,心肌梗死的发病率高,尽早干预血糖对治疗冠心病有积极作用。
Objective: To analyze the clinical manifestations and the characteristics of coronary lesions in patients with coronary heart disease complicated with type 2 diabetes mellitus. Methods: A total of 126 patients with coronary heart disease were selected as study subjects. Patients with diabetes mellitus (T2DM) were divided into diabetic group and non-diabetic group according to whether they had type 2 diabetes mellitus. The clinical manifestations, complications and coronary artery lesions were compared between the two groups. Results: Complications of coronary heart disease such as myocardial infarction, arrhythmia and heart failure in diabetic group were higher than those in non-diabetic group (P <0.05). Comparing the characteristics of coronary artery disease, the three branches of diabetes mellitus group Vascular lesions in single, triple vessel disease and non-diabetic patients with differences was statistically significant (P <0.05). Conclusion: There are many clinical complications and coronary heart disease in type 2 diabetes mellitus with coronary heart disease. The early intervention of blood glucose has a positive effect on the treatment of coronary heart disease.