合并糖尿病的冠心病患者冠状动脉病变临床观察

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目的探讨2型糖尿病与冠状动脉病变程度的关系。方法统计本院于2005年1月至2007年6月确诊为冠心病的住院患者(均行冠状动脉造影)126例,分别对其冠状动脉病变支数、管腔内径狭窄程度、病变长度进行评价,冠状动脉狭窄程度采用Gensini定量评定法。结果2型糖尿病患者冠状动脉病变支数、病变狭窄程度、病变长度均高于非糖尿病患者。糖尿病患者多支病变明显高于非糖尿病组。结论2型糖尿病患者冠状动脉造影证实更易出现多支病变、复杂病变、严重病变。故有效地控制糖尿病在防止冠状动脉粥样硬化发生、发展中具有重要意义。 Objective To investigate the relationship between type 2 diabetes and the severity of coronary artery disease. Methods The hospital from January 2005 to June 2007 were diagnosed as coronary heart disease inpatients (all underwent coronary angiography) 126 cases, respectively, the number of lesions in the coronary artery, lumen diameter stenosis, lesion length were evaluated , Coronary stenosis using Gensini quantitative assessment method. Results Type 2 diabetes patients with coronary artery lesions, stenosis, lesion length were higher than non-diabetic patients. Multi-vessel disease in diabetic patients was significantly higher than non-diabetic group. Conclusions Coronary angiography in patients with type 2 diabetes mellitus confirmed that multivessel disease, complex disease and severe disease were more likely to occur. Therefore, the effective control of diabetes in the prevention of coronary atherosclerosis, the development of great significance.
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