摘要
目的 研究分析老年冠心病合并糖尿病患者256排冠脉CTA的临床特点,为其临床诊断、治疗和研究提供理论依据.方法 对2010-01~2013-01间入住我院接受CTA检查的70例老年冠心病合并糖尿病患者（观察组）的临床资料进行回顾性分析,并选取70例同期接受治疗的单纯性冠心病患者作对照组,比较两组患者的冠脉CTA检查结果之间的差异.结果 观察组患者中发生单支血管病变的机率低于对照组,组间比较差异明显,具有统计学意义（P＜0.05）.发生三支或多支血管疾病的发生率高于对照组（P＜0.05）,两组患者双支病变和病变血管的分布比较无明显差异（P＞0.05）.结论 老年冠心病合并糖尿病患者大多伴有高血脂、高血压等症状,其冠脉病变主要为多支弥漫性病变,并常伴有冠脉管壁钙化.
Objective To analyze senile coronary heart disease patients with diabetes mellitus 256 clinical characteristics of coronary CTA. Methods From January 2010 to January 2013, during the stay in the hospital, 70 cases, receiving CTA examination, with senile coronary heart disease combined with diabetes mellitus （ observation group）, were retrospectively analyzed, and 70 cases in the same period for treatment of simple coronary heart disease patients were as the control group. Results Observation group occurrence probability of single vascular lesions in patients had lower rate than the control group. There were differences between groups, with statistical significance （P 〈 0. 05）, but its three or more vascular disease incidence was higher than the control group （P 〈 O. 05）. Two groups of patients with double branch lesions and pathological changes of the blood vessels distribution had no obvious difference （ P 〉 0.05 ）. Conclusion Most senile coronary heart disease patients with diabetes mellitus accompany by symptoms, such as high cholesterol and high blood pressure. The main coronary lesions are only diffuse lesions, and often accompany by coronary artery wall calcification.
出处
《黑龙江医学》
2014年第2期150-151,共2页
Heilongjiang Medical Journal
关键词
老年患者
冠心病
糖尿病
合并症
临床特点
Elderly patient
Coronary heart disease diabetes mellitus
Complication
256 row of coronary CTA
Clinical characteristic
