CAJ | 학술논문

目的分析2型糖尿病患者并发冠心病的临床特点,为临床预防和治疗糖尿病并发冠心病提供依据.方法选取行冠状动脉造影术患者为研究对象,其中2型糖尿病并发冠心病患者46例作为观察组；2型糖尿病不合并冠心病患者30例为对照Ⅰ组；无糖尿病的冠心病患者50例为对照Ⅱ组.比较各组患者的一般情况、血糖、血压、血脂、糖化血红蛋白(HbA1c)和胰岛素敏感指数(ISI)；并对观察组与对照Ⅱ组患者冠脉造影结果进行对比.结果高血压、HbA1c、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、ISI与糖尿病患者发生冠心病存在相关关系；糖尿病合并冠心病患者以3支病变多见.结论 2型糖尿病患者致动脉粥样硬化的因素多而复杂,临床应针对上述因素加强综合观察与治疗.
목적 분석2형당뇨병환자병발관심병적림상특점,위림상예방화치료당뇨병병발관심병제공의거.방법 선취행관상동맥조영술환자위연구대상,기중2형당뇨병병발관심병환자46례작위관찰조；2형당뇨병불합병관심병환자30례위대조Ⅰ조；무당뇨병적관심병환자50례위대조Ⅱ조.비교각조환자적일반정황、혈당、혈압、혈지、당화혈홍단백(HbA1c)화이도소민감지수(ISI)；병대관찰조여대조Ⅱ조환자관맥조영결과진행대비.결과 고혈압、HbA1c、감유삼지(TG)、저밀도지단백담고순(LDL-C)、ISI여당뇨병환자발생관심병존재상관관계；당뇨병합병관심병환자이3지병변다견.결론 2형당뇨병환자치동맥죽양경화적인소다이복잡,림상응침대상술인소가강종합관찰여치료.
Objective To investigate the characteristic of type 2 diabetes (T2DM) patients with coronary heart disease (CHD),and provide methods for prevention and treatment for patients who suffered from CHD.Methods The hospitalized patients were divided into three groups.The treatment group contains 46 cases who were T2D with CHD;The control group Ⅰ contains 30 cases who were T2DM without CHD;The control group Ⅱ contains 50 cases who were CHD without T2DM.Their ordinary circumstances were compared;the blood sugar,BP,TC,TG,HDL,LDL,HbA1c,C-P,Ins were measured.Insulin sensitive index(ISI) was calculated.Results Three groups had obvious statistical differences in BP,TC,LDL-C,ISI,HbA1 c.Diabetic patients with CHD have more common with three lesions.Conclusion In the clinical job,the composite observation should be strengthened and treatment because the factors of atherosclerosis in T2DM patients were numerous and complex.