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糖尿病有无伴发无症状冠心病患者冠状动脉螺旋CT造影比较 被引量：3

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摘要 目的对糖尿病(DM)或非DM患者并发疑似冠心病者使用64排螺旋CT冠状动脉造影技术(CTA)检测冠脉病变情况、了解冠脉病变严重程度及其冠状动脉斑块成分组成。方法322例疑似冠心病并至少存在一种危险因素或运动试验异常而需进一步确认的患者完成64排CTA,其中DM组46例,非DM组276例,两组间在年龄、性别、冠心病危险因素方面无统计学差异。结果DM组的冠心病发病率为91%(42例),非DM组为73%(201例)(P=0.0012),DM组的阻塞性病变比非DM组高(26%比6.7%,P=0.0001),DM组每个病人受累的冠状动脉节段数明显比非DM组高(P=0.0003)。DM组总的钙化计分比非DM组高(368±91比85.4±19,P<0.0001)。结论DM患者有较高的冠心病发病率,CTA在评估DM冠心病风险方面是一个非常重要手段。
作者 王莉萍 马锋 王晓明
机构地区 西安市中心医院老年病科 第四军医大学西京医院老年病科
出处 《中国老年学杂志》 CAS CSCD 北大核心 2008年第14期1395-1396,共2页 Chinese Journal of Gerontology
关键词 糖尿病 冠心病 冠状动脉造影
分类号 R589.1 [医药卫生—内分泌]
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参考文献11

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同被引文献23

  • 1安艳荣,高颖,都伟,李拥军.糖尿病合并急性冠脉综合征患者冠状动脉造影分析[J].河北医科大学学报,2006,27(4):277-278. 被引量：3
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  • 3Bastarrika G,Lee Y S,Huda W,et al.CT of coronary artery disease[J].Radiology,2009,253(2):317-338.
  • 4Jacob M V,Filippo C,Erica M,et al.Diabetes:prognostic value of CT coronary angiography-comparison with a nondiabetic population[J].Radiology,2010,256(1):93-101.
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  • 6Hong Y J,Choi Y H,Jeong M H,et al.Relationship between coronary calcium score by cardiac computed tomography angiography and plaque components by virtual histology-intravascular ultrasound[J].J Am Coll Cardiol,2010,55(10A):A178,E1667.
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  • 10Dieter Ropers, Rixe J, Anders K, et al. Usefulness of multi detector row spiral computed tomography with 64- × 0.6mm collimation and 330ms rotation for the noninvasive detection of significant coronary artery stenoses[J]. Am J Cardiol, 2006, 97(5):343-348.

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中国老年学杂志
2008年 第14期

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