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目的:探讨合并糖尿病的冠心病患者的临床特点。方法:采用回顾性研究。选取经冠状动脉造影而确诊为冠心病的患者633例,合并有糖尿病110例患者纳入观察组,不合并有糖尿病的523例患者纳入对照组。收集病人的一般情况、心电图、超声心动图等资料,观察两组病人在高血压、高血脂、心力衰竭、心电图、心肌缺血症状等方面的发病情况。结果:(1)两组病人在发病年龄、性别、高血压、高血脂的发病情况无明显差异;心力衰竭的发生率观察组显著高于对照组。(2)心电图异常、无心肌缺血表现和心电图正常、有心肌缺血表现这两种情况在观察组中均较对照组多见。结论:(1)合并糖尿病的冠心病患者无症状心肌缺血与心电图正常的冠心病病人多见,如不能及时识别易延误诊治。(2)合并糖尿病的冠心病患者心功能损害较重,心力衰竭发生率高。
Objective: To investigate the clinical features of patients with coronary heart disease complicated with diabetes mellitus. Methods: A retrospective study. A total of 633 patients diagnosed with coronary heart disease by coronary angiography were enrolled. One hundred and ten patients with diabetes mellitus were included in the observation group, and 523 patients without diabetes mellitus were included in the control group. Collect the general situation of patients, electrocardiogram, echocardiography and other data to observe the incidence of hypertension, hyperlipidemia, heart failure, ECG, myocardial ischemia and other aspects of the two groups of patients. Results: (1) There was no significant difference between the two groups in the incidence of age, gender, hypertension and hyperlipidemia; the incidence of heart failure in the observation group was significantly higher than that in the control group. (2) ECG abnormalities, no performance of myocardial ischemia and normal ECG, myocardial ischemia performance of both cases in the observation group were more common than the control group. Conclusions: (1) Asymptomatic myocardial ischemia in patients with coronary heart disease complicated with coronary heart disease is more common in patients with coronary heart disease with normal ECG. (2) Patients with coronary heart disease complicated with diabetes have more severe cardiac dysfunction and high incidence of heart failure.