摘要
目的:探讨急性冠脉综合征(ACS)患者糖代谢异常与冠状动脉病变程度的关系。方法:对190例急性冠脉综合征患者做葡萄糖耐量试验,根据血糖水平依次分为糖耐量正常A组、糖耐量异常B组、糖尿病C组。利用冠状动脉造影确定冠状动脉病变严重程度。结果:在ACS患者中,合并糖代谢异常的患者占总数的71.6%,约占2/3;糖代谢异常组的冠状动脉造影显示病变更为严重,多支血管病变的发生率明显高于糖耐量正常组;多支血管病变的发生率在糖耐量异常和糖尿病组间差异无统计学意义。结论:合并糖代谢异常的ACS患者冠脉病变程度更为严重。
Objective：To explore the relationship between glycometabolism dysfunction and the degree of coronary artery lesion in patients with acute coronary syndrome.Methods：A total of 190 enrolled ACS patients were examined by oral glucose tolerance test（OGTT） and divided into three groups：group A（normal glucose tolerance）,group B（abnormal glucose tolerance） and group C（diabetes mellitus） according to the blood glucose levels.The severity of coronary artery lesions was detemined using coronary angiography.Results：The ACS patients merger with abnormal glucose metabolism total 71.6%,about 2/3;Sugar metabolic abnormalities group of coronary angiography showed lesions was more serious,the incidence of multivessel vascular lesions was obviously higher than that of normal glucose tolerance;The incidence of multivessel vascular lesions with abnormal glucose tolerance and diabetes comparative differences between groups were statistically significant.Conclusion：Compared with those in the ACS patients with nomal glucose tolerance,coronary artery lesions in ACS patients with abnomal glucose metabolism are more severe.
出处
《中国当代医药》
2010年第36期26-27,共2页
China Modern Medicine
关键词
急性冠脉综合征
糖代谢异常
口服糖耐量试验
Acute coronary syndrome
Glycometabolism dysfunction
Oral glucose tolerance test
