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目的 探讨血脂正常范围的 2型糖尿病患者的冠脉病变特点。方法 选择经冠状动脉造影证实为冠状动脉病变的患者 10 0例 ,5 0例为 2型糖尿病患者 ,5 0例为非糖尿病患者 ,两组血脂变化均在正常范围内 ,并进行对比。结果 血脂在正常范围内的 2型糖尿病患者 ,冠脉病变仍然以多支病变、复杂病变为主。结论 2型糖尿病患者的冠脉病变可能与血糖、血粘度及脂蛋白糖化相关
Objective To investigate the characteristics of coronary lesions in type 2 diabetic patients with normal lipid profile. Methods One hundred and fifty patients with coronary artery disease confirmed by coronary angiography were selected. Fifty patients with type 2 diabetes mellitus and 50 patients with non-diabetic mellitus were enrolled in this study. The changes of serum lipids in the two groups were within the normal range and were compared. Results In type 2 diabetic patients with normal blood lipid levels, coronary lesions were still predominant with multiple lesions and complex lesions. Conclusions Coronary lesions in patients with type 2 diabetes may be related to blood glucose, blood viscosity and lipoprotein glycosylation