冠心病合并糖尿病患者的危险因素与冠状动脉病变特点的分析

The Analyses of the Risk Factors and the Coronary Artery Lesion Characteristics on the Patients of Coronary Artery Ddisease with Diabetes Mellitus

目的对冠心病合并糖尿病和无糖尿病冠心病患者危险因素与冠状动脉病变特点作对比研究。方法经冠状动脉造影诊断冠心病(CAD)合并糖尿病68例(DM组),无糖尿病的冠心病患者70例(非DM组),比较两组患者冠心病的危险因素与冠状动脉病变和左室射血分数情况。结果冠心病合并糖尿病患者在危险因素方面血脂及血压异常者明显多于对照组(p<0.05);冠状动脉及左室造影显示冠心病合并糖尿病患者冠脉血管受累程度高且弥漫性血管病变多,左室射血分数低,均明显重于对照组(p<0.05)。结论合并糖尿病与无糖尿病的冠心病患者比较,合并糖尿病的患者有血脂及血压异常的危险因素者明显多于对照组;冠状动脉及左室造影显示合并糖尿病的冠心病患者冠脉病变程度严重、弥漫、心功能差。

Objective To study the risk factors and the coronary artery lesion characteristics on the patients of coronary artery disease (CAD)with diabetes mellitus(DM). Methods All the patients were diagnosed definitely by the check of coronary angiography. There were 68 cases of coronary artery disease with diabetes mellitus and 70 coronary artery disease only. Then study the risk factors and the coronary artery lesion characteristicsand left ventricular ejection fractions(LVEF) in two groups. Results There were more dyslipidemia and hypertension in the coronary artery disease with diabetes mellitus grou(pp<0.05). Coronary artery angiography and left ventricular angiography showed that the coronary artery lesions were severer and the left ventricular ejection fractions were lower in the coronary artery disease with diabetes mellitus grou(pp<0.05). Conclusion There were more dyslipidemia and hypertension in the coronary artery disease with diabetes mellitus group while the coronary artery lesions were severer and the left ventricular ejection fractions were lower in this group.