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中老年心肌梗死合并2型糖尿病患者的冠状动脉病变特点
引用本文:朱小玲,李庆祥,艾辉,李南,孙晓东.中老年心肌梗死合并2型糖尿病患者的冠状动脉病变特点[J].中国综合临床,2006,22(8):687-689.
作者姓名:朱小玲  李庆祥  艾辉  李南  孙晓东
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医疗抢救中心
摘    要:目的 探讨中老年心肌梗死合并2型糖尿病患者的冠状动脉造影特点。方法 对比分析159例2型糖尿病合并心肌梗死患者(糖尿病组)和193例心肌梗死不合并糖尿病患者(未合并糖尿病组)的冠状动脉造影结果。结果 与未合并糖尿病患者比较,糖尿病患者非ST段抬高性心肌梗死发生率增多(P〈0.05)。糖尿病组三支病变和双支病变发生率明显增高,单支病变发生率明显低于未合并糖尿病组(P〈0.01)。糖尿病组左主干病变和弥漫性病变血管支数均高于未合并糖尿病组(P〈0.05和P〈0.01)。结论 中老年2型糖尿病合并心肌梗死患者冠状动脉病变复杂严重。

关 键 词:心肌梗死  血管造影术  糖尿病
文章编号:1008-6315(2006)08-0687-03
修稿时间:2006年4月5日

Characteristics of coronary artery lesions in middle and old aged diabetic patients with myocardial infarction
Zhu Xiaoling,Li Qingxiang,Ai Hui,et al..Characteristics of coronary artery lesions in middle and old aged diabetic patients with myocardial infarction[J].Clinical Medicine of China,2006,22(8):687-689.
Authors:Zhu Xiaoling  Li Qingxiang  Ai Hui  
Institution:Zhu Xiaoling,Li Qingxiang,Ai Hui,et al. Emergency Center of Heart,Lung and Blood Vessel Diseases,Anzhen Hospital of Capital Medical University
Abstract:Objective To study the angiography characteristics of coronary artery lesions in middle and old aged type 2 diabetes mellitus(DM)patients with myocardial infarction(MI). Methods The angiography results of 193 DM patients with MI and 159 MI patients without DM were compared. Results The DM patients suffered more from non-ST elevation MI than the patients without DM(P<0.05). The DM patients suffered more from multi-vessel lesions(P<0.01),left main stem and diffuse lesions(P<0.05 or <0.01). Conclusions Complicated coronary artery lesion is more common in middle and old age type 2 DM patients with MI.
Keywords:Myocardial infarction  Angiography  Diabetes mellitus
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