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目的:探讨合并2型糖尿病老年冠心病患者的临床特点和冠状动脉病变特征。方法:回顾性分析本院1 102例老年冠心病患者的临床资料及冠状动脉造影结果。结果:与不合并糖尿病患者比较,合并2型糖尿病肥胖和高血压比例、最高收缩压、最高舒张压、三酰甘油、血糖、尿酸均显著增高,高密度脂蛋白胆固醇酯水平显著降低,平均冠状动脉病变处数、长病变、分叉病变和多支病变发生率显著增高(P<0.05),冠状动脉病变更严重、更弥漫,平均置入支架数目多(P<0.01),平均支架直径小而长(P<0.05)。结论:合并糖尿病的老年冠心病患者代谢异常更显著,冠状动脉硬化范围更广、程度更重,多支病变、弥漫病变常见,需要介入干预的比例高。
Objective: To investigate the clinical features and coronary lesion characteristics of elderly patients with type 2 diabetes mellitus with coronary heart disease. Methods: A retrospective analysis of clinical data of 102 elderly patients with coronary heart disease and coronary angiography results. Results: Compared with non-diabetic patients, the ratio of obesity and hypertension, the highest systolic blood pressure, the highest diastolic blood pressure, triglyceride, blood glucose and uric acid in type 2 diabetes mellitus were significantly increased, and the level of high-density lipoprotein cholesterol ester was significantly decreased The incidences of arterial lesions, long lesions, bifurcation lesions and multivessel lesions were significantly higher (P <0.05). The severity of coronary artery disease was more severe and the average number of stents was more (P <0.01). The mean stent diameter While longer (P <0.05). Conclusion: The elderly patients with diabetes mellitus have more significant metabolic abnormalities, a broader range of coronary atherosclerosis, more severe multi-vessel disease, diffuse lesions common, requiring a high proportion of intervention interventions.