冠心病合并2型糖尿病病人冠状动脉造影分析

目的观察冠心病合并2型糖尿病病人的冠状动脉病变特征.方法对155例冠心病病人进行回顾性分析,对合并糖尿病者及无糖尿病者的冠状动脉病变进行比较.结果冠心病合并2型糖尿病组与非糖尿病组相比,病变血管支数比率高(76.5%vs 55.5%,P<0.01),多支血管病变(85.1%vs 45.7%,P<0.01)、弥漫性病变(11.3%vs 3.8%,P<0.05)及左主干病变(22.2%vs 7.0%,P<0.05)发生率高;相关性分析显示冠状动脉血管病变支数与糖尿病的病程呈正相关.结论冠心病合并2型糖尿病病人多支病变、弥漫性病变、左主干病变比例高,血管受累支数多.

Clinical Analysis of Coronary Angiography in Coronary Artery Disease Patients with Diabeties Mellitus

Objective To delineate the angiographic characteristics of coronary artery disease(CAD) in patients with type 2 diabetes mellitus(DM).Methods 155 consecutive CAD patients undergoing coronary angiography with or without DM were analyzed.Results Compared with non-diabetic patients, the diabetic had more coronary lesions (76.5%vs 55.5%,P<0.01), more multivessels involvement (85.1%vs 45.7%,P<0.01), more diffuse lesions (11.3% vs 3.8%,P<0.05) and high lesions of left main coronary artery (22.2%vs 7.0%,P<0.05); A significant postive correlation was found between the history of diabetes and coronary branches involved.Conclusion The feature of coronary lesion in CHD patients with type 2 DM is high rate of multivessels lesions ,diffuse lesions and high lesions of left main coronary artery.