论文部分内容阅读
目的 :用冠脉造影定量分析方法探讨糖尿病与冠状动脉粥样硬化的关系。方法 :统计分析251例经冠脉造影的急性心肌梗死患者的造影资料 ,计算冠脉造影积分 ,并按有无糖尿病分为2组。结果 :非糖尿病组205例 ,平均(59.60±12.55)岁 ;糖尿病组46例 ,平均(62.02±8.22)岁。糖尿病组较非糖尿病组有较高的冠脉积分(coronaryscore)、范围积分(extentscore) ,差别有统计学意义(P<0.05)。狭窄级别的总积分 (totalscore)和粥样硬化积分(atheroscleroticscore)2组差异无统计学意义。糖尿病组3支血管病变发生率与非糖尿病组接近。结论 :冠心病急性心肌梗死伴糖尿病患者较非糖尿病患者血管狭窄的程度重、广泛且弥漫。
Objective: To investigate the relationship between diabetes and coronary atherosclerosis by quantitative coronary angiography. Methods: The angiographic data of 251 patients with acute myocardial infarction who underwent coronary angiography were statistically analyzed. The coronary angiography score was calculated and divided into two groups according to the presence or absence of diabetes. Results: In the non-diabetic group, 205 cases (mean 59.60 ± 12.55) and 46 cases (62.02 ± 8.22) years in the diabetic group. Diabetic patients had higher coronaryscore and extentscore than non-diabetic patients, the difference was statistically significant (P <0.05). No significant difference was observed between the two groups for the narrow-class total and total atherosclerotics scores. The incidence of 3-vessel disease in diabetic group was similar to that in non-diabetic group. Conclusion: The degree of vascular stenosis in patients with acute myocardial infarction with diabetes mellitus is heavier, more extensive and more diffuse than those without diabetes.