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目的通过冠脉造影探讨冠心病合并糖尿病者冠脉病变特点。方法回顾我院2000-2006年1068例冠心病患者造影检查阳性者对380例糖尿病合并冠心病者行冠脉造影,并与688例非糖尿病的冠心病患者相比较。结果糖尿病并冠心病者三支病变和弥漫性病变者分别为56.8%和58%,明显高于非糖尿病者(21.5%和16%)。结论冠心病并糖尿病者冠脉造影主要表现为多支病变及复杂病变,而非糖尿病者多为单支或双支病变,糖尿病组冠脉狭窄程度明显高于非糖尿病组,显示糖尿病对冠脉病变影响大,糖尿病为冠心病的独立危险因素。
Objective To investigate coronary artery disease with coronary heart disease (CAD) by coronary angiography. Methods A retrospective study of 1068 coronary heart disease patients from 2000 to 2006 in our hospital with contrast-enhanced coronary angiography was performed on 380 diabetic patients with coronary heart disease and compared with 688 non-diabetic coronary heart disease patients. Results Diabetic and coronary heart disease patients with three lesions and diffuse lesions were 56.8% and 58%, significantly higher than non-diabetic patients (21.5% and 16%). Conclusions Coronary angiography in patients with coronary heart disease and diabetes is mainly manifested as multivessel disease and complex lesions, while non-diabetic patients are mostly single or double vessel disease. The degree of coronary artery stenosis in diabetic patients is significantly higher than that in non-diabetic patients, indicating that coronary artery disease Lesions affect the diabetes as an independent risk factor for coronary heart disease.