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目的探讨冠心病合并2型糖尿病患者的临床特征和冠状动脉病变特点。方法对经冠状动脉造影诊断的伴2型糖尿病(108例)和不伴2型糖尿病(103例)的冠心病患者的临床特点和冠状动脉造影结果进行比较。结果与非糖尿病的冠心病组相比,冠心病合并2型糖尿病组高血压、血脂异常率升高(P<0.05),体质指数及血尿酸水平升高(P<0.01),血脂异常以甘油三酯增高和高密度脂蛋白胆固醇降低为主要特点;冠状动脉病变严重,主要表现在3支病变和多支多节段病变,分别占33%和35%;左室射血分数较低,为(41.33±2.80)%。结论冠心病并发2型糖尿病患者常有多种心血管危险因素聚集,冠状动脉多支病变常见,心功能较差。
Objective To investigate the clinical features of coronary heart disease (CAD) and type 2 diabetes mellitus (T2DM). Methods The clinical features and results of coronary angiography in coronary heart disease patients with type 2 diabetes mellitus (n = 103) and type 2 diabetes mellitus (n = 103) diagnosed by coronary angiography were compared. Results Compared with non-diabetic coronary heart disease group, the incidence of hypertension and dyslipidemia in CHD patients with type 2 diabetes mellitus (P <0.05), body mass index and serum uric acid level increased (P <0.01) Increased triglycerides and high-density lipoprotein cholesterol as the main features; severe coronary lesions, mainly in the 3 lesions and multi-segmental multi-segmental lesions, accounting for 33% and 35%; lower left ventricular ejection fraction, as (41.33 ± 2.80)%. Conclusion Patients with type 2 diabetes mellitus and coronary heart disease often have multiple cardiovascular risk factors, multiple coronary lesions are common and their heart function is poor.