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冠心病并发2型糖尿病患者临床及冠状动脉造影特点
引用本文:李文,聂文丽,丁少娟. 冠心病并发2型糖尿病患者临床及冠状动脉造影特点[J]. 河北医学, 2004, 10(10): 870-871
作者姓名:李文  聂文丽  丁少娟
作者单位:江苏省徐州市第一人民医院心内科,江苏,徐州,221002;江苏省徐州市第一人民医院心内科,江苏,徐州,221002;江苏省徐州市第一人民医院心内科,江苏,徐州,221002
摘    要:
目的:探讨并发2型糖尿病的冠心病患者的临床特征及冠状动脉病变造影特点。方法:对25例选择性冠状动脉造影确诊的并发2型糖尿病的冠心病患者(DM组)的临床资料及冠状动脉造影结果进行了分析,并与无糖尿病的55例冠心病患者(非DM组)进行比较。结果:两组患者除血糖外,冠心病的危险因素(血脂异常、高血压、吸烟、冠心病的家族史)及心机梗死无显著差异,DM组病变血管比例,三支病变及多节段病变显著高于非DM组。结论:并发2型糖尿病的冠心病患者冠状动脉痛变严重。病变部位多且弥漫。

关 键 词:冠心病  2型糖尿病  冠状动脉造影
文章编号:1006-6233(2004)10-0870-02

The clinical and coronary angiographical characteristics in coronary heart disease with type 2 diabetes mellitus
LI Wen,NIE Wen-li,DING Shao-juan. The clinical and coronary angiographical characteristics in coronary heart disease with type 2 diabetes mellitus[J]. Hebei Medicine, 2004, 10(10): 870-871
Authors:LI Wen  NIE Wen-li  DING Shao-juan
Abstract:
Objective: To investigate the clinical and coronary angiographical characteristics in coronary heart disease(CHD) with type 2 diabetes mellitus(T2DM). Method: The clinical features and the date from selective coronary angiographies were compared between the CHD patients with and without T2DM. Result: The major risk of atherosclerosis(hyperlipidemia,hypertension,smoking) and myocardial infarction were similar in two groups.To the proportion of damaged vascular,the three branch damages and polysegment damages,the diabetes group has a statistical significance than nondiabetes group. Conclusion: The CHD patients with T2DM have much great extent of coronary artery involvement and more diffusing vascular.
Keywords:Coronary heart disease  Type 2 diabetes mellitus  Coronary angiography
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