摘要
目的探讨老年急性冠脉综合征合并糖尿病患者冠状动脉病变的特点。方法对69例老年急性冠脉综合征患者行冠脉造影检查,其中合并2型糖尿病组21例,未合并糖尿病组48例,分析两组患者临床资料及冠脉病变特点。结果两组性别、年龄、肥胖、吸烟、高血压、高脂血症等差异均无统计学意义(P>0.05);与非合并糖尿病组比较,合并糖尿病组冠状动脉以多支血管病变为主(85.7%),其中合并三支血管病变差异有统计学意义[14(66.7)vs 17(35.4),P=0.016];合并糖尿病组重度狭窄或完全闭塞达(66.7%),其中重度狭窄90%≤D<99%与非糖尿病组比较差异有统计学意义[11(52.4)vs 11(22.9),P=0.016]。结论老年急性冠脉综合征合并糖尿病患者冠状动脉以三支血管病变为主,重度狭窄为主。
Objective To analyse the characteristics of the coronary artery angiography（CAG） in aged acute coronary syndrom （ACS）patients with 2 type diabetes mellitus （DM）. Methods CAG were undergone in 69 elderly patients with ACS,ineluding 21 cases complicated with DM （group DM ）and 48 without DM （group non-DM）. The CAG results and the clinical features were recorded in all patients. Results There were no statistical significance between Sex, Aging, overweight, smoking, hypertension and hypercholesterolemia （ P 〉 0.05 ）, compared with the group non-DM, Most of the DM patients were complicated with multiple vessel lesions （85.7%）, especially with three-vessel lesion [ 14 （ 66.7 ） vs 17 （ 35.4 ） , P = 0.016 ] , and complicated with severer stenosis （ 66.7 % ）, especially with 90% ≤ D（99% stenosis[11（52.4）vs 11（22.9） ,P=0.016]. Conclusion Most of the aged ACS patients with DM have three-vessel lesion and severer stenosis.
出处
《中国临床保健杂志》
CAS
2009年第1期4-5,共2页
Chinese Journal of Clinical Healthcare
