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目的利用MSCT血管造影探讨合并糖尿病的心绞痛患者冠状动脉粥样硬化斑块特点。资料与方法以接受64排螺旋CT冠状动脉造影检查的心绞痛患者60例为研究对象,其中合并糖尿病者30例,无糖尿病者30例。观察并比较两组患者的冠状动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冠状动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患者由于混合斑块的增加而处于易发心血管事件的高危状态。
Objective To explore the characteristics of coronary atherosclerotic plaque in patients with angina pectoris complicated with diabetes by MSCT angiography. Materials and Methods 60 patients with angina who underwent 64-slice spiral CT coronary angiography were selected as study subjects, including 30 patients with diabetes mellitus and 30 patients without diabetes. The distribution and type of coronary atherosclerotic plaques in both groups were observed and compared. Results The diabetic group had more mixed plaques than the non-diabetic group. Diabetes mellitus is an independent risk factor for mixed plaques after age and sex adjustment. Conclusion MSCT coronary angiography can accurately reflect the atherosclerotic plaque in patients with diabetes and non-diabetic differences in patients with diabetes mellitus due to the increase of mixed plaque in a high risk of cardiovascular events.