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选择38例冠心病合并T2DM患者作为观察组,41例单纯冠心病患者为对照组,对两组临床特点和冠脉造影结果进行比较。结果:与非糖尿病组比较,糖尿病组无症状心肌缺血及无痛性心肌梗死、高血脂明显多于对照组(P<0.05),冠脉造影结果C型病变观察组为69.3%,对照为12.2%(P<0.01),冠脉血管3支病变多见.结论T2DM合并冠心病患者多伴有高血脂,无痛性心肌梗死及无症状性心肌缺血,其冠脉病变多为多支弥漫病变。
Thirty-eight CHD patients with T2DM were selected as observation group and 41 CHD patients as control group. The clinical features and coronary angiography results were compared between the two groups. Results: Compared with non-diabetic group, the incidence of asymptomatic myocardial ischemia and painless myocardial infarction and hyperlipemia in diabetic group was significantly higher than that in control group (P <0.05). The results of coronary angiography in type C lesion observation group were 69.3% 12.2%, P <0.01), coronary artery lesions more common.Conclusion T2DM patients with coronary heart disease often accompanied by hyperlipidemia, painless myocardial infarction and asymptomatic myocardial ischemia, coronary artery lesions more than multiple Diffuse lesions.