摘要
目的 :用冠脉造影定量分析方法探讨糖尿病与冠状动脉粥样硬化的关系。方法 :统计分析251例经冠脉造影的急性心肌梗死患者的造影资料 ,计算冠脉造影积分 ,并按有无糖尿病分为2组。结果 :非糖尿病组205例 ,平均(59.60±12.55)岁 ;糖尿病组46例 ,平均(62.02±8.22)岁。糖尿病组较非糖尿病组有较高的冠脉积分(coronaryscore)、范围积分(extentscore) ,差别有统计学意义(P<0.05)。狭窄级别的总积分 (totalscore)和粥样硬化积分(atheroscleroticscore)2组差异无统计学意义。糖尿病组3支血管病变发生率与非糖尿病组接近。结论 :冠心病急性心肌梗死伴糖尿病患者较非糖尿病患者血管狭窄的程度重、广泛且弥漫。
Objective:To explore the relationship between diabetes mellitus and coronary atherosclerosis by angiography.Methods:Two hundred and fifty-one patients with acute myocardial infarction were analyzed by agiographic indexes.They were divided into two groups according to diabetic mellitus.Results:Two hunˉdred and five patients were in non diabetes mellitus group with the mean age of59.60±12.55,and46patients were in diabetes mellitus group with the mean age of62.02±8.22.The coronary score and extent score were higher in diabetic mellitus group than that in non diabetic mellitus group(P<0.05).There was no significant difference in total score and atherosclerotic score between two groups(P>0.05).The incidence of three-vessel disease in diabetic group was similar to that in non diabetic group.Conclusion:The coronary atherosclerosis in patients with diabetes was more severe,extent,and diffuse than those without diabetes.
出处
《天津医药》
CAS
北大核心
2004年第6期336-338,共3页
Tianjin Medical Journal
