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Ⅱ型糖尿病并发冠心病的临床和冠状动脉病变特点分析(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2004年第3期
页码:
247-249
栏目:
临床研究
出版日期:
2004-05-01

文章信息/Info

Title:
Clinical and coronary angiographic characteristics in type Ⅱ diabetes mellitus patients complicated with coronary heart disease
作者:
刘海伟1;  韩稚玲2; 王效增2; 荆全民2; 王守力2; 裴兆辉3; 赵连友1
1.第四军医大学唐都医院心内科，陕西 西安 710038; 2.沈阳军区总医院心内科，沈阳 110016; 3.第四军医大学生理学教研室，陕西 西安 710032
Author(s):
LIU Hai-wei1; HAN Ya-ling2; WANG Xiao-zeng2; JING Quan-min2; WANG Shou-li'; PEI Zhao-hui3;  ZHAO Lian-you1
1.Department of Cardiology，Tangdu Hospital，Fourth Military Medical University，Xi'an，Shaanxi 710038,China; 2.Department of Cardiology, General Hospital of Shenyang Command of PLA，Shenyang，Liaoning 110016;3.Department of Physiology，Fourth Military Medical University，Xi'an,Shaanxi 710032
关键词:
冠状动脉疾病; 糖尿病; Ⅱ型; 冠状血管造影术
Keywords:
coronary disease;  diabetes mellitus; type 2;  coronary angiography
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的:探讨Ⅱ型糖尿病(DM)并发冠心病患者临床及冠状动脉病变的特点。方法:分析经冠状动脉造影诊断的伴有DM (354例)和不伴有DM (1 222例)的冠心病患者临床表现和造影结果。结果:与非DM的冠心病患者相比，DM并发冠心病存在有更多的心血管危险因素:高血压、血清甘油三醋异常、女性吸烟，且无症状心肌缺血者比例高。在冠状动脉病变特点方面，DM并发冠脉血管三支、C型病变发生率高(35.9% vs27.6%; 60.6% vs 48.7%，均P
Abstract:
AIM:To investigate the clinical and coronary artery lesion characteristics in type I diabetes mellitus (DM) patients complicated with coronary heart disease (CHD). METHODS:To analyse the clinical and coronary angiographic characteristics of 354 DM patients with CHD and compared with 1222 nondiabotic patients with CHD. RESULTS:The DM patients had much more cardiovascular risk factors，including hypertension，high triglyceride，smoking in women and silent ischemia，than the nondiabotic CHD patients. The proportions of 3 branches coronary artery lesions and type C lesions were higher in the DM group than in the controls (35.9% vs 27.6%; 60.6 % vs 48.7% ，P

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2003-8-30
更新日期/Last Update: 2004-05-01