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目的 :分析 2型糖尿病患者冠状动脉病变的造影特点。方法 :对 32例 2型糖尿病合并冠心病患者的冠状动脉造影结果进行分析 ,并与 32例无糖尿病的冠心病患者的冠脉造影结果进行比较。结果 :糖尿病病人合并冠心病时 ,血清胆固醇水平比非糖尿病病人高 ;其冠状动脉病变的特点是左主干、三支病变和右冠脉病变的发生率明显高于非糖尿病病人。结论 :与具有同等年龄和危险因素的非糖尿病病人合并冠心病的冠脉病变相比 ,糖尿病病人易合并冠心病 ,且以三支病变、左主干和右冠脉受累多见 ,较少发生单支病变。
Objective: To analyze the angiographic features of coronary lesions in type 2 diabetic patients. Methods: The results of coronary angiography in 32 patients with type 2 diabetes mellitus complicated with coronary heart disease were analyzed and compared with those of coronary angiography in 32 patients with non-diabetic coronary heart disease. Results: Diabetes patients with coronary heart disease, serum cholesterol levels higher than non-diabetic patients; its coronary artery lesions characterized by left main, three lesions and right coronary artery disease was significantly higher than non-diabetic patients. CONCLUSIONS: Diabetic patients are more likely to have coronary artery disease than nondiabetic patients with the same age and risk factors who have coronary artery disease, and are predominantly affected by three lesions, left main and right coronary arteries, with less incidence of single Branch disease.