冠心病合并2型糖尿病患者冠状动脉造影的临床分析

Study of angiography characteristic of coronary artery disease patients accompanied with diabetes

目的:探讨冠心病合并2型糖尿病患者冠状动脉造影的特点。方法:选择120例冠心病患者进行冠状动脉造影,其中合并糖尿病组60例,无糖尿病组60例,根据临床特点及冠造结果进行对比。结果:糖尿病合并冠心病患者甘油三酯、低密度脂蛋白水平明显升高(P<0.05),高密度脂蛋白水平明显下降(P<0.05)。冠脉造影主要表现多支血管病变及弥漫性病变的发生率明显高于对照组(P<0.05),而单支血管病变发生率明显低于无糖尿病组(P<0.05),两组病变血管的分布情况无差异(P>0.05)。结论:冠心病合并糖尿病患者冠脉造影主要表现为冠状血管病变广泛、严重。

Objective： To analyze angiography characteristics of coronary artery disease accompanied with diabetes. Methods： A total of 120 patients with coronary artery disease were performed coronary artery angiography, and the patients were divided into diabetes group （n=60） and non-diabetes groups （n=60）. The clinical and angiography characteristics between two groups were compared. Results： The levels of triglyceride and low density lipoprotein-cholesterol （LDL-C） were significantly higher than those of non-diabetes group （P〈0.05） and high density lipoprotein-cholesterol （HDL-C） level was significantly lower than that of non-diabetes group （P〈0.05）. Multi-vessel lesion and diffused lesion of coronary artery in diabetes group were significantly higher than those of non-diabetes group （P〈0.05）, and single vessel lesion was significantly lower than that of non-diabetes group （P〈0.05）, and there were no difference in involved vessel distribution. Conclusion： The main angiography characteristics of coronary artery disease accompanied with diabetes is diffused lesion of coronary artery.