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心肌梗死合并2型糖尿病冠脉造影特点分析
引用本文:李庆祥,徐方兴,朱小玲,李楠,李响,叶明,迟云鹏,颜红兵.心肌梗死合并2型糖尿病冠脉造影特点分析[J].中国医师进修杂志,2006,29(9):11-12.
作者姓名:李庆祥  徐方兴  朱小玲  李楠  李响  叶明  迟云鹏  颜红兵
作者单位:100029,北京,首都医科大学附属北京安贞医院,北京心肺血管疾病研究所心肺血管疾病抢救中心
摘    要:目的探讨心肌梗死合并2型糖尿病患者的冠状动脉造影特点。方法166例心肌梗死合并2型糖尿病患者和223例心肌梗死不合并糖尿病患者的冠脉造影结果进行对比分析。结果两组患者比较,糖尿病患者高血压发病率明显增高(P<0.05),糖尿病组总胆固醇、甘油三酯、体重指数明显高于非糖尿病组(P<0.05)。心肌梗死合并2型糖尿病患者较多发生多支病变,弥漫性病变(P<0.05)。结论心肌梗死合并2型糖尿病患者冠状动脉病变复杂严重。

关 键 词:血管造影术  心肌梗死  糖尿病
修稿时间:2005年11月29

The features of coronary angiography in myocardial infarction with type 2 diabetes mellitus
LI Qing-xiang,XU Fang-xing,ZHU Xiao-ling,LI Nan,LI Xiang,YE Ming,CHI Yun-peng,YAN Hong-bing.The features of coronary angiography in myocardial infarction with type 2 diabetes mellitus[J].Chinese Journal of Postgraduates of Medicine,2006,29(9):11-12.
Authors:LI Qing-xiang  XU Fang-xing  ZHU Xiao-ling  LI Nan  LI Xiang  YE Ming  CHI Yun-peng  YAN Hong-bing
Abstract:Objective To study angiography characteristics of myocardial infarction complicated with type 2 diabetes mellitus(DM). Methods A total of 389 cases confirmed by coronary angiography were divided into two groups according to the status if they had combined with DM(166 patients) or not(223 patients). Results The DM patients suffered more from hypertension than without DM patients(P<0.05).The DM patients had more higher serum cholesterol,triglycerides,BMI than without DM patients(P<0.05).The DM patients suffered more from multi-vessel lesions and diffuse lesions(P<0.05). Conclusions Diffuse and complicated lesions of coronary arteries were more common in patients with myocardial infarction complicatel with type 2 DM.
Keywords:Angiography  Myocardial infarction  Diabetes mellitus  
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