摘要
目的探讨中老年心肌梗死合并2型糖尿病患者的冠状动脉造影特点。方法对比分析159例2型糖尿病合并心肌梗死患者(糖尿病组)和193例心肌梗死不合并糖尿病患者(未合并糖尿病组)的冠状动脉造影结果。结果与未合并糖尿病患者比较,糖尿病患者非ST段抬高性心肌梗死发生率增多(P<0.05)。糖尿病组三支病变和双支病变发生率明显增高,单支病变发生率明显低于未合并糖尿病组(P<0.01)。糖尿病组左主干病变和弥漫性病变血管支数均高于未合并糖尿病组(P<0.05和P<0.01)。结论中老年2型糖尿病合并心肌梗死患者冠状动脉病变复杂严重。
Objective To study the angiography characteristics of coronary artery lesions in middle and old aged type 2 diabetes mellitus （ DM ） patients with myocardial infarction （ MI ）. Methods The angiography results of 193 DM patients with MI and 159 MI patients without DM were compared. Results The DM patients suffered more from non - ST elevation MI than the patients without DM （ P 〈 0.05 ）. The DM patients suffered more from multi - vessel lesions （ P 〈 0.01 ） , left main stem and diffuse lesions （ P 〈 0.05 or 〈 0.01 ）. Conclusions Complicated coronary artery lesion is more common in middle and old age type 2 DM patients with MI.
出处
《中国综合临床》
北大核心
2006年第8期687-689,共3页
Clinical Medicine of China
关键词
心肌梗死
血管造影术
糖尿病
Myocardial infarction
Angiography
Diabetes mellitus
