急性心肌梗死合并血糖异常患者冠状动脉造影特点

The features of coronary artery angiography in acute myocardial infarction patients combined with pathoglycemia

目的探讨急性心肌梗死合并血糖异常患者的冠状动脉造影特点。方法收集187例行冠脉造影术的急性心肌梗死患者病例资料,根据血糖是否异常分为血糖异常组和血糖正常组,分析两组患者的冠状动脉造影资料。结果急性心肌梗死并发血糖异常者三支冠状动脉病变的发生率高于血糖正常组（P〈0.01）;血糖异常组弥漫性病变血管的比例高于血糖正常组（P〈0.01）。结论急性心肌梗死合并血糖异常患者冠状动脉病变复杂且严重,多支血管病变和弥漫性病变构成比例高于血糖正常患者。

Objective To investigate the features of coronary artery lesion in acute myocardial infarction（AMI）patients with pathoglycemia.Methods The clinical data of 187 AMI patients undergoing coronary angiography were collected.The patients were divided into two groups according to the level of blood glucose：pathoglycemia group and AMI group.Their coronary artery angiography results were compared.Results The incidences of coronary triple vessels and the diffuse vascular lesion were significantly higher in pathoglycemia group than those in AMI group（P〈0.01）.Conclusion The occurrence of coronary multi-vessel changes is more frequent in the AMI patients with pathoglycemia,and the AMI patients with pathoglycemia have narrower coronary arteries and severer diffuse lesion.