急性冠脉综合征合并2型糖尿病临床特点及冠脉造影分析

Analysis on clinical characteristic and coronary angiography of acute coronary syndrome with type 2 diabetes mellitus

目的探讨急性冠脉综合征(ACS)合并2型糖尿病(DM)的临床特点及冠状动脉造影特点。方法对88例ACS患者的临床资料进行回顾性分析,根据是否合并2型DM分为DM组非DM组,比较2组临床特点及冠状动脉造影特点。结果 DM组非典型胸痛发生率57%,明显高于非DM组的32%(P<0.05);冠状动脉3支病变发生率71.4%,也明显高于非DM组的47.2%(P<0.05)。结论 ACS合并2型DM非典型胸痛多,冠脉病变广泛且严重。

Objective To study the relationship between acute coronary syndrome(ACS) and type 2 diabetes mellitus(DM).Methods The clinical features of 35 ACS patients with DM in DM group,53 ACS patients without DM in non-DM group were measured and analyzed. Results The vague atypical chest discomfort in DM group and the incidence of triple vessel disease were significantly higher than those in non-DM group(P < 0. 05). Conclusion ACS with DM patients are more likely to suffer the vague atypical chest discomfort,with extensive and severe coronary lesions.