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目的:探讨冠心病合并2型糖尿病患者的临床表现及冠状动脉病变特点;方法:选择我院2014年2月至2016年3月收治的冠心病患者200例,将全部患者分成糖尿病组(实验组)和非糖尿病组(对照组),对两组患者的临床表现及冠状动脉病变特点进行对比分析;结果:在典型胸痛症状方面,两组患者比较差异无统计学意义(P>0.05),实验组患者的心源性休克、心力衰竭、心律失常以及心肌梗死等并发症发生率显著高于对照组(P<0.05)。在RCA、LCX、LAD分布方面,两组患者比较差异无统计学意义(P>0.05);在弥漫性血管病变、三支以及LM方面,实验组显著多样对照组(P<0.05)。结论:冠心病合并2型糖尿病患者具有较多的临床并发症,冠状动脉病变弥漫,主要累及左主干,临床中在对冠心病患者进行常规治疗的同时,加强对患者血糖水平的控制,能有效防治冠心病。
Objective: To investigate the clinical manifestations and the characteristics of coronary lesions in patients with coronary heart disease complicated with type 2 diabetes.Methods: 200 patients with coronary heart disease admitted in our hospital from February 2014 to March 2016 were selected and all patients were divided into diabetic group (experimental group ) And non-diabetic group (control group). The clinical manifestations and the characteristics of coronary lesions were compared between the two groups. Results: There was no significant difference between the two groups in the typical symptoms of chest pain (P> 0.05) The incidence of complications such as cardiogenic shock, heart failure, arrhythmia and myocardial infarction was significantly higher in the group than in the control group (P <0.05). In the distribution of RCA, LCX and LAD, there was no significant difference between the two groups (P> 0.05). In diffuse vascular lesions, three branches and LM, the experimental group was significantly different in the control group (P <0.05). Conclusion: Patients with type 2 diabetes mellitus and coronary heart disease have more clinical complications. Diffuse coronary artery disease mainly involves the left main trunk. In clinical practice, patients with coronary heart disease are treated routinely. At the same time, it is effective in controlling blood glucose level in patients with type 2 diabetes. Prevention and treatment of coronary heart disease.