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目的研究2型糖尿病(T2DM)合并冠心病患者的冠状动脉造影特点。方法整理信阳市中心医院293例冠心病患者的临床资料,对患者进行冠状动脉造影术检查,同时给予患者口服75 g葡萄糖耐量试验,其中2型糖尿病合并冠心病组149例,单纯冠心病组144例,对比分析两组患者的临床和冠状动脉造影资料。结果在临床冠状动脉造影检查当中,合并组患者的胰岛素抵抗指数和尿白蛋白,肌酐比值明显增高(P均<0.05),胰岛素分泌指数明显降低(P<0.01),患者的3支病变较多(P<0.05),冠状动脉重度狭窄、完全闭塞、弥漫病变比例较高(P<0.05)。结论 2型糖尿病合并冠心病患者的临床危险性较高,在临床治疗过程中需要加强注意和防治处理。
Objective To study the characteristics of coronary angiography in type 2 diabetes mellitus (T2DM) patients with coronary heart disease. Methods The clinical data of 293 patients with coronary heart disease in Xinyang Central Hospital were collected. The patients underwent coronary angiography and were given oral glucose tolerance test (75 g). Among them, type 2 diabetes mellitus combined with coronary heart disease (149 cases) and simple coronary heart disease group (144 cases) Cases, comparative analysis of two groups of patients with clinical and coronary angiography data. Results In the clinical coronary angiography, the insulin resistance index, urinary albumin and creatinine ratio in the combined group were significantly higher (P <0.05), and the insulin secretion index was significantly lower (P <0.01). The 3 lesions were more (P <0.05). Severe coronary stenosis, complete occlusion and diffuse lesions were higher (P <0.05). Conclusion The clinical risk of patients with type 2 diabetes mellitus complicated by coronary heart disease is high. In the course of clinical treatment, attention and prevention and treatment should be strengthened.