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目的:探讨2型糖尿病合并冠心病患者冠脉造影的临床特点。方法:选择65例2型糖尿病合并冠心病患者作为观察组,随机抽取同期冠脉造影的非糖尿病的冠心病病人50例为对照组,采用Judkins法行冠脉造影,对两组患者冠脉造影结果和临床特点进行对比分析。结果:观察组与对照组的冠心病危险因素比较:年龄、性别、吸烟史及冠心病家族史间差异无显著性(P>0.05),无痛性心绞痛史、高血压、高血脂观察组明显多于对照组(P<0.05),冠脉造影结果C型病变观察组为70.8%,对照为10.0%(P<0.01),A型病变观察组为10.7%,对照组为70.0%(P<0.01),B型两组分别为18.5%和20.0%,差异无显著性(P>0.05)。结论:2型糖尿病合并冠心病患者多伴有高血压、高血脂、无痛性心绞痛史,其冠脉病变为多支弥漫病变。
Objective: To investigate the clinical features of coronary angiography in type 2 diabetic patients with coronary heart disease. Methods: Sixty-five patients with type 2 diabetes mellitus complicated with coronary heart disease were selected as the observation group. Fifty patients with non-diabetic coronary heart disease undergoing coronary angiography at random were selected as the control group. Coronary angiography was performed by Judkins method. Coronary angiography Results and clinical features were compared. Results: There was no significant difference in age, sex, smoking history and family history of coronary heart disease between the observation group and the control group (P> 0.05), history of painless angina, hypertension and hyperlipidemia observation group (P <0.05). The results of coronary angiography were 70.8% in C group, 10.0% in control group (P <0.01), 10.7% in A group and 70.0% in control group (P < 0.01). There was no significant difference between the two groups (18.5% and 20.0%, P> 0.05). Conclusion: Patients with type 2 diabetes mellitus and coronary heart disease often have history of hypertension, hyperlipidemia and painless angina pectoris.