中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
17期
76-77
,共2页
2型糖尿病%冠心病%冠状动脉造影%临床特点
2型糖尿病%冠心病%冠狀動脈造影%臨床特點
2형당뇨병%관심병%관상동맥조영%림상특점
Type 2 diabetes mellitus%Coronary heart disease%Coronary artery angiography%Clinical characteristic
目的 分析2型糖尿病合并冠心痛患者冠状动脉造影的临床特点.方法 选取72例2型糖尿病合并冠心病患者为观察组,另选非糖尿病冠心痛患者100例为对照组,两组均行Judkins法进行冠状动脉造影,对两组冠状动脉造影结果进行分析,对比冠状动脉受累情况.结果 观察组中女性高危因素主要有高血压史、高脂血症,男性则以吸烟为主,另高血压同为两组危险因素.两组年龄、性别、高血压、高血脂、吸烟及冠心病史方面比较差异未见统计学意义(P＞0.05).观察组病变血管占67.0％,显著高于对照组(50.0％,P＜0.05),其中三支病变观察组显著较高(P＜0.05),单支观察组较低(P＜0.05),多节段病变观察组(70.8％)显著高于对照组(25.0％,P ＜0.05).病变血管分布情况差异未见统计学意义(P＞0.05).结论 早期对糖尿病患者的心血管危险因素进行控制具有必要性,对延缓和减轻冠状动脉病变有重要意义.
目的 分析2型糖尿病閤併冠心痛患者冠狀動脈造影的臨床特點.方法 選取72例2型糖尿病閤併冠心病患者為觀察組,另選非糖尿病冠心痛患者100例為對照組,兩組均行Judkins法進行冠狀動脈造影,對兩組冠狀動脈造影結果進行分析,對比冠狀動脈受纍情況.結果 觀察組中女性高危因素主要有高血壓史、高脂血癥,男性則以吸煙為主,另高血壓同為兩組危險因素.兩組年齡、性彆、高血壓、高血脂、吸煙及冠心病史方麵比較差異未見統計學意義(P＞0.05).觀察組病變血管佔67.0％,顯著高于對照組(50.0％,P＜0.05),其中三支病變觀察組顯著較高(P＜0.05),單支觀察組較低(P＜0.05),多節段病變觀察組(70.8％)顯著高于對照組(25.0％,P ＜0.05).病變血管分佈情況差異未見統計學意義(P＞0.05).結論 早期對糖尿病患者的心血管危險因素進行控製具有必要性,對延緩和減輕冠狀動脈病變有重要意義.
목적 분석2형당뇨병합병관심통환자관상동맥조영적림상특점.방법 선취72례2형당뇨병합병관심병환자위관찰조,령선비당뇨병관심통환자100례위대조조,량조균행Judkins법진행관상동맥조영,대량조관상동맥조영결과진행분석,대비관상동맥수루정황.결과 관찰조중녀성고위인소주요유고혈압사、고지혈증,남성칙이흡연위주,령고혈압동위량조위험인소.량조년령、성별、고혈압、고혈지、흡연급관심병사방면비교차이미견통계학의의(P＞0.05).관찰조병변혈관점67.0％,현저고우대조조(50.0％,P＜0.05),기중삼지병변관찰조현저교고(P＜0.05),단지관찰조교저(P＜0.05),다절단병변관찰조(70.8％)현저고우대조조(25.0％,P ＜0.05).병변혈관분포정황차이미견통계학의의(P＞0.05).결론 조기대당뇨병환자적심혈관위험인소진행공제구유필요성,대연완화감경관상동맥병변유중요의의.
Objective To analyze the clinical features of coronary artery angiography in patients with type 2 diabetes mellitus complicated with coronary heart disease.Methods Seventy-two patients with type 2 diabetes mellitus complicated with coronary heart disease were chosen as the observation group,100 non-diabetes patients with coronary heart disease were selected as control group.All of the patients were examined by Judkins method for coronary angiography,the results of coronary angiography were analyzed,and the coronary artery involvement was compared.Results In the observation group,the main high risk factors of women were the history of hypertension,hyperlipidemia,that of men was smoking,hypertension were risk factors of the two groups.There was no significant difference in age,sex,hypertension,hyperlipidemia,smoking or history of coronary heart disease between the two groups (P ＞ 0.05).Vascular lesions accounted for 67％ in observation group,which was significantly higher than that in control group (50％,P ＜0.05),of which three branch lesions in observation group was significantly higher (P ＜ 0.05),single branch lesion in observation group was lower (P ＜ 0.05),multiple segment lesions in observation group (70.8％) was significantly higher than that in control group (25 ％,P ＜ 0.05).There was no significant difference in the distribution of vascular lesions (P ＞ 0.05).Conclusions Early cardiovascular risk factors in patients with diabetes are necessary to control,has important significance of delaying and reducing the coronary artery lesions.
