摘要
[目的]探讨不同性别人群冠心病合并糖尿病患者的冠脉病变特点及相关危险因素.[方法]2005年1月至2009年12月经冠脉造影检查（CAG）确诊冠心病患者46例,均合并糖尿病,根据性别分为两组,比较两组冠心病相关危险因素及造影情况.[结果]两组在年龄,高血压发病率,胆固醇（TC）,甘油三酯（TG）,血尿酸比较无统计学意义,但是吸烟比例男性组明显高于女性组（P〈0.01）.女性组与男性组相比,单支病变较低（P〈0.05）,多支病变较多（P〈0.05）,血管病变数较多（P〈0.05）,右冠脉（RCA）病变较多（P〈0.05）,RCA弥漫病变较多（P〈0.05）.[结论]女性冠心病合并糖尿病患者冠脉病变较男性重,糖尿病对女性冠心病的影响较男性更为严重.
[Objective] To explore the characteristics of coronary artery lesion and related risk factors of the patients with coronary heart disease complicating diabetes mellitus with different gender. [Methods] Forty six coronary heart disease .patients confirmed by coronary angiography from January 2005 to December 2009 were complicated with diabetes mellitus. According to the gender, all patients were divided into two groups. The related risk factors and coronary angiography findings were compared between two groups. [Results] There were no statistical difference in age, the incidence of hypertension, cholesterol（TC）, triglyceride（TG） and blood uric acid between two groups, but the rate of smoking in male group was significantly higher than that in female group（ P 〈0.01）. Compared with male group, the number of lesions of single branch of coronary artery in female group were less（ P 〈0.05）, and the number of multivessel lesions, vascular lesions and RCA diffuse lesions were more（ P 〈0.05）. [Conclusion] Coronary lesions of the female with coronary heart disease complicating diabetes mellitus are more serious than those of the male. Diabetes mellitus can affect the female with coronary heart disease more seriously than the male.
出处
《医学临床研究》
CAS
2010年第10期1858-1859,共2页
Journal of Clinical Research
