冠心病合并糖尿病患者冠状动脉造影分析

Analysis of Coronary Artery Angiography in Patients with Coronary Heart Disease and Diabetes Mellitus

目的观察冠心病合并糖尿病患者临床及冠状动脉病变特点。方法收集本院经冠状动脉造影证实冠心病患者967例,按血糖情况分为三组:糖尿病组、糖耐量异常组和血糖正常组,比较分析各组临床和冠状动脉病变情况。结果糖尿病组中有脑卒中史和冠状动脉病变侵犯左主干和前降支的比例高,发病年龄较血糖正常组低,糖尿病组和糖耐量异常组的冠状动脉病变中多支病变和重度病变发生率高(P<0.05),单支病变发生率较低(P<0.05)。结论糖尿病及糖耐量异常合并冠心病患者冠状动脉病变广泛且较严重,应早期多环节防治。

Aim To observe the clinic and the coronary artery’s aspect of coronary heart disease. Methods 967 patients of coronary heart disease diagnosed by coronary artery angiography were collected, and divided into three groups according to the level of blood glucose： the DM, the IGT and the NBG, and their clinic aspect and the results of coronary artery angiography were compared. Results The stroke and the coronary artery of left main and left anterior descending branch is higher, the age is younger in DM than in NBG （P〈0.05）, the multi-artery diseases and the grave artery diseases are higher in DM and in IGT than in NBG（P〈0.05）. Conclusions The coroanry heart disease with DM or IGT of ten have extensive and grave artery diseases, so we should control the level of blood gloucose from many aspects as early as possible.