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糖尿病对冠状动脉侧支循环的影响
引用本文:谭强,李广平,王伟,赵凯,张承宗. 糖尿病对冠状动脉侧支循环的影响[J]. 天津医药, 2007, 35(5): 348-349
作者姓名:谭强  李广平  王伟  赵凯  张承宗
作者单位:300211,天津医科大学第二医院心脏科,天津市心脏病学研究所
摘    要:目的:探讨2型糖尿病对冠状动脉闭塞后侧支循环形成的影响。方法:93例冠状动脉闭塞病变的患者.分为合并糖尿病组(n=44)和非糖尿病组(n=49)。通过冠状动脉造影分析两组冠脉病变的特点,采用侧支动脉记分法评估两组侧支循环的发育。结果:糖尿病组病变血管数较对照组明显增多,钙化病变、弥漫病变、小血管病变也较非糖尿病患者明显增多(P〈0.05);糖尿病患者侧支血管记分较对照组显著减低(P〈0.01)。结论:2型糖尿病患者侧支循环发育不良,糖尿病妨碍冠脉侧支血管新生。

关 键 词:冠状动脉疾病  糖尿病,2型  侧支循环  冠状血管造影术  慢性病
修稿时间:2006-05-152006-12-25

The Effects of Type 2 Diabetes Mellitus on Coronary Collateral Circulation
TAN Qiang,LI Guangping,WANG Wei,ZHAO Kai,ZHANG Chengzong. The Effects of Type 2 Diabetes Mellitus on Coronary Collateral Circulation[J]. Tianjin Medical Journal, 2007, 35(5): 348-349
Authors:TAN Qiang  LI Guangping  WANG Wei  ZHAO Kai  ZHANG Chengzong
Affiliation:Department of Cardiology, Second Hospital of Tianjin Medical University, Tianjin 300211, China
Abstract:Objective: To discuss the effects of type 2 diabetes mellitus on coronary collateral circulation in coronary artery disease. Methods: Ninety-three patients with coronary artery occlusion who underwent coronary angiography were classified into 2 groups which included DM (n=44) and control groups (n=49). Coronary angiograms were accessed. Collateral circulation was graded according to contina scoring system. Results: The numbers of vasculopathy calcification diffused lesion, and small vessels lesion were higher in DM group than that in non-DM control groap(P < 0.05). The score in DM cas lower then that in control(P < 0.01). Conclusion: Type 2 diabetes mellitus restrains the formation of collateral circulation.
Keywords:coronary disease diabetes mellitus   type 2 collateral circulation coronary angiography chronic disease
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