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冠心病合并2型糖尿病患者冠状动脉造影结果分析
引用本文:何皓,阳学风,李传辉,伍锡明,李国娟,郭慧.冠心病合并2型糖尿病患者冠状动脉造影结果分析[J].中国航天工业医药,2009(8):26-28.
作者姓名:何皓  阳学风  李传辉  伍锡明  李国娟  郭慧
作者单位:南华大学附属南华医院,湖南衡阳421002
摘    要:目的探讨冠心病(CHD)合并2型糖尿病(NIDDM)患者冠状动脉(冠脉)造影特点。方法对126例冠心病合并2型糖尿病患者(DM)及与之配对的非糖尿病冠心病患者(CHD)189例进行临床表现和血管造影资料对照分析。结果DM组与CHD组两组间3支病变比较差异有统计学意义(P〈0.05)。DM组3支病变发生率高于CHD组,两组均以RCA病变发生率比较差异有统计学意义(P〈0.05),即DM组RCA病变的发生率高于CHD组(P〈0.05)。结论冠心病合并2型糖尿病患者高血脂比例较高,冠脉病变广泛且复杂。

关 键 词:冠心病  2型糖尿病  冠状动脉造影  胰岛素抵抗

Clinical analysis of coronary angiography in coronary heart disease with type 2 diabetes mellitus
Institution:He Hao, Yang Xuefeng, Li Chuanhui, et al. (The Nanhua Affliated Hospital of Nanhua University,Hengyang 421002)
Abstract:Objective To study the coronary angiographic characteristics of coronary heart disease(CHD) patients with type 2 diabetes mellitus. Methods The coronary angiography and clinical data of 315 patients were analyzed. Results Compared with the patients who simply had CHD, the paients who had CHD and type 2 diabetes mellitus showed the coronary angiography result of them was more serious and complicated. Conclusion The coronary angiographic characteristics are different in patients who have CHD 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.
Keywords:Coronary heart disease Type 2 diabetes mellitus Coronary angiography Insulin resisitance
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