摘要
目的探讨冠心病(CHD)合并2型糖尿病患者的冠状动脉造影特点。方法从冠状动脉造影病例中选取454例(其中冠心病合并2型糖尿病203例,单纯冠心病251例)进行血生化和血管造影资料对比分析。结果与单纯冠心病组比较,冠心病合并2型糖尿病组甘油三酯(TG)水平高,载脂蛋白A(apoA)水平低;四支病变比例高(17.3%比9.5%,P<0.05),单支病变比例低(16.3%比26.3%,P<0.05),且血管狭窄程度重(狭窄程度≥75%的比例为66%比61.3%,P<0.05)。结论合并2型糖尿病与不合并2型糖尿病的冠心病患者的冠状动脉造影表现的差异有统计学意义,前者冠状动脉病变更加广泛和严重。
Objective To study the angiographic characteristics of coronary heart disease （CHD） in CHD patients with type 2 diabetes mellitus. Methods Analysis was carried out in terms of blood chemistry test result and angiographic data in 454 patients who received selective coronary angiography. Results Compared with the simple CHD patients without type 2 diabetes mellitus, CHD patients with type 2 diabetes mellitus showed higher blood triglyceride （TG） level and lower apoA level. Their coronary angiography showed more four-branch （ 17.3% vs 9.5%, P 〈 0.05） lesions but lower incidence of one-branch lesions （16.3% vs 26.3%, P 〈 0.05） and higher degree of stenosis （stenosis ≥ 75% was 66% vs 61.3 %, P 〈 0.05 ）. Condusion The angiographic characteristics are different in CHD patients with or without type 2 diabetes mellitus. The coronary lesions of CHD patients with type 2 diabetes mellitus tend to be more widespread and severe.
出处
《中国介入心脏病学杂志》
2006年第1期31-33,共3页
Chinese Journal of Interventional Cardiology
基金
山东省科技发展计划(2003-35)号
