老年糖尿病合并冠心病与老年冠心病心肌灌注显像的对比研究

The Contrast Study of Cardiac Muscle Affuse Imaging between Senile Diabetes United with Coronary Heart Disease and Senile Coronary Heart Disease

目的 :观察老年Ⅱ型糖尿病合并冠心病患者的冠脉病变程度。方法 :4 1例老年糖尿病合并冠心病患者应用99mTc MIBI( 99m 锝 甲氧基异丁基异腈 )心肌灌注显像并与 3 8例年龄、性别配对的非糖尿病冠心病患者进行比较。结果 :老年Ⅱ型糖尿病并冠心病患者症状隐匿 ,其血清甘油三酯水平显著高于老年非糖尿病冠心病组 ,前者高密度脂蛋白水平显著低于后者 ,前者心肌病变涉及面广 ,且糖尿病病程越长 ,心肌病变范围越大。结论 :老年Ⅱ型糖尿病人及早行99mTc MIBI心肌显像 ,及早控制血糖、血脂对冠心病防治甚为重要。

Objective: To observe the extent of pathological changes in coronary pulse of the patients with senile type 2 diabetes united with coronary heart disease. Methods: 41 cases of senile diabetes united with coronary heart disease to which 99m Tc MIBI cardiac muscle affuse imaging was applied were compared with 38 cases of senile non diabetes united with coronary heart disease whose age and gender were partnered. Results: The symptoms of senile diabetes united with coronary heart disease were hidden. Their blood serum glycerin three sester level was notably higher than that of the senile non diabetes united with coronary heart disease group. The former's high density lipoprotein level was notably lower than that of the latter.The pathological changes of the former's cardiac muscle involved more and the longer the diabetes course, the wider the area of pathological changes in cardiac muscle. Conclusions: In order to prevent and cure coronary heart disease, it's very importarnt for the senile type 2 diabetes sufferers to undergo 99m Tc MIBI cardiac muscle imaging and control blood glucose and blood lipoids as soon as possible.