中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2009年
31期
20-22
,共3页
糖尿病%冠状血管%血管造影术%心肌梗死
糖尿病%冠狀血管%血管造影術%心肌梗死
당뇨병%관상혈관%혈관조영술%심기경사
Diabetes mellitus%Coronary vessels%Angiocardiography%Myocardial infarction
目的 分析糖尿病合并急性心肌梗死患者冠状动脉造影特点.方法 对45例糖尿病合并急性心肌梗死患者(糖尿病组)与45例非糖尿病急性心肌梗死患者(非糖尿病组)的临床资料进行回顾性分析,比较两组患者心电图和冠状动脉造影结果,总结糖尿病合并急性心肌梗死患者的心肌梗死类型和冠状动脉病变特点.结果 糖尿病组冠状动脉三支病变和弥漫性病变较非糖尿病组明显增多[64.4%(29/45)比35.6%(16/45)和82.2%(37/45)比 40.0%(18/45),P<0.05],差异有统计学意义.糖尿病组中非ST段抬高心肌梗死较非糖尿病组多见[37.8%(17/45)比17.8%(8/45).P<0.05],差异有统计学意义.结论 糖尿病合并急性心肌梗死患者冠状动脉病变较重,三支病变和弥漫性病变多见,梗死类型以非ST段抬高心肌梗死为主.
目的 分析糖尿病閤併急性心肌梗死患者冠狀動脈造影特點.方法 對45例糖尿病閤併急性心肌梗死患者(糖尿病組)與45例非糖尿病急性心肌梗死患者(非糖尿病組)的臨床資料進行迴顧性分析,比較兩組患者心電圖和冠狀動脈造影結果,總結糖尿病閤併急性心肌梗死患者的心肌梗死類型和冠狀動脈病變特點.結果 糖尿病組冠狀動脈三支病變和瀰漫性病變較非糖尿病組明顯增多[64.4%(29/45)比35.6%(16/45)和82.2%(37/45)比 40.0%(18/45),P<0.05],差異有統計學意義.糖尿病組中非ST段抬高心肌梗死較非糖尿病組多見[37.8%(17/45)比17.8%(8/45).P<0.05],差異有統計學意義.結論 糖尿病閤併急性心肌梗死患者冠狀動脈病變較重,三支病變和瀰漫性病變多見,梗死類型以非ST段抬高心肌梗死為主.
목적 분석당뇨병합병급성심기경사환자관상동맥조영특점.방법 대45례당뇨병합병급성심기경사환자(당뇨병조)여45례비당뇨병급성심기경사환자(비당뇨병조)적림상자료진행회고성분석,비교량조환자심전도화관상동맥조영결과,총결당뇨병합병급성심기경사환자적심기경사류형화관상동맥병변특점.결과 당뇨병조관상동맥삼지병변화미만성병변교비당뇨병조명현증다[64.4%(29/45)비35.6%(16/45)화82.2%(37/45)비 40.0%(18/45),P<0.05],차이유통계학의의.당뇨병조중비ST단태고심기경사교비당뇨병조다견[37.8%(17/45)비17.8%(8/45).P<0.05],차이유통계학의의.결론 당뇨병합병급성심기경사환자관상동맥병변교중,삼지병변화미만성병변다견,경사류형이비ST단태고심기경사위주.
Objective To investigate the coronary angiography characteristics of acute myocardial infarction (AMI) combined with diabetes mellitus (DM). Methods Forty-five AMI patients combined with DM and 45 AMI patients without DM all received coronary angiography and the results were compared retrospectively, then the differences of coronary angiography and electrocardiogram characteristics were analyzed. Results The ratio of triple vessel lesions and diffuse lesions of coronary artery were more higher in AMI patients combined with DM than those in AMI patients without DM [64.4%(29/45) vs 35.6%( 16/45) and 82.2%(37/45)vs 40.0%(18/45),P< 0.05]. Non-ST segment elevation myocardial infarction (NSTEMI) was more common seen in AMI patients combined with DM than that in AMI patients without DM [37.8% (17/45)vs 17.8% (8/45),P<0.05]. Conclusion AMI patients combined with DM often have NSTEMI with triple vessel lesions and diffuse lesions of coronary artery.
