CAJ | 학술논문

目的利用MSCT血管造影探讨合并糖尿病的心绞痛病人冠脉粥样硬化斑块特点。方法以接受64排螺旋CT冠脉造影检查的心绞痛病人60例为研究对象，其中合并糖尿病者30人，无糖尿病者30人。观察并比较两组病人的冠脉粥样硬化斑块的分布特点与类型特点。结果与非糖尿病组相比，糖尿病组具有更多的混合斑块。经年龄和性别调整后，糖尿病是混合斑块的独立危险因素。结论MSCT冠脉造影能够准确反映动脉粥样硬化斑块在糖尿病和非糖尿病患者之间的差异，合并糖尿病的心绞痛病人由于混合斑块的增加而处于易发心血管事件的高危状态。
목적이용MSCT혈관조영탐토합병당뇨병적심교통병인관맥죽양경화반괴특점。방법이접수64배라선CT관맥조영검사적심교통병인60례위연구대상，기중합병당뇨병자30인，무당뇨병자30인。관찰병비교량조병인적관맥죽양경화반괴적분포특점여류형특점。결과여비당뇨병조상비，당뇨병조구유경다적혼합반괴。경년령화성별조정후，당뇨병시혼합반괴적독립위험인소。결론MSCT관맥조영능구준학반영동맥죽양경화반괴재당뇨병화비당뇨병환자지간적차이，합병당뇨병적심교통병인유우혼합반괴적증가이처우역발심혈관사건적고위상태。
Objective To investigate the characteristics of atheromatous plaque in coronary artery in angina patients with diabetes using 64-slice spiral CT angiography. Methods 60 angina patients received MSCT angiography examinations were included as research objects. Of these, 30 were diabetes patients and 30 were non-diabetes patients . The characteristics of distribution and type of atherosclerotic plaque were observed and compared between two groups .Results Patients with diabetes had a higher prevalence of mixed plaques compared with non-diabetic patients. After adjustment for age and sex. Diabetics were shown to be an independom factor for mixed plaques. Conclusions Differences in cornary plaque composition between diabetic and non-diabetic patients can be determined nccurately by MSCT angiography . In patients with diabetes, increased mixed plaque types contribute to a high risk for cardiovascular events.