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分析46例糖尿病合并冠心病患者与同期80例非糖尿病的冠心病患者的临床和冠脉造影资料。结果:两组患者冠心病危险因素(血脂、高血压、吸烟、冠心病家族史)及冠状动脉支架植入术无显著差异,糖尿病并冠心病三支病变和弥漫病变者分别为56.6%和60%,明显高于非糖尿病者(21.4%和28.7%)。且糖尿病组急性心肌梗死比例高于非糖尿病组。结论:糖尿病并冠心病者冠脉造影三支病变发生率高,且病变部位弥漫、严重、易发生心肌梗死。
The clinical and coronary angiographic data of 46 patients with diabetes mellitus with coronary heart disease and 80 non-diabetic patients with coronary heart disease were analyzed. Results: There was no significant difference between the two groups in the risk factors of coronary heart disease (blood lipids, hypertension, smoking, family history of coronary heart disease) and coronary stenting. The rates of diabetic and coronary artery disease were 56.6% and 60 %, Significantly higher than non-diabetic (21.4% and 28.7%). The proportion of acute myocardial infarction in diabetic group was higher than that in non-diabetic group. Conclusion: The incidence of coronary artery disease in diabetic patients with coronary artery disease is high, and the lesions are diffuse, severe and prone to myocardial infarction.