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目的探讨合并2型糖尿病的老年冠心病患者冠状动脉造影的特点。方法 50例老年冠心病合并2型糖尿病患者(糖尿病组)与50例老年冠心病未合并2型糖尿病患者(对照组),均行冠状动脉造影检查,并进行比较。结果糖尿病组冠状动脉造影主要表现为多支病变和多支多节段病变,对照组主要表现为单支病变和2支单节段病变;糖尿病组单支病变、多支病变、弥漫性狭窄病变、重度及闭塞病变发生率分别为14%,58%,78%和88%;对照组分别为44%,26%,20%和40%,2组比较差异均有统计学意义(P<0.05)。结论老年冠心病合并2型糖尿病者冠状动脉的狭窄程度较未合并2型糖尿病者重。
Objective To investigate the characteristics of coronary angiography in elderly patients with type 2 diabetes mellitus. Methods Fifty elderly coronary heart disease patients with type 2 diabetes mellitus (DM) and 50 elderly patients with coronary heart disease without type 2 diabetes mellitus (control group) underwent coronary angiography and were compared. Results Coronary angiography in diabetic group mainly manifested as multi-vessel lesion and multi-vessel multi-segmental lesion. The control group showed single vessel lesion and two single segmental lesion. In diabetic group, single vessel lesion, multiple vessel lesion and diffuse stenosis The incidence of severe and occlusive lesions were 14%, 58%, 78% and 88% respectively. The control group was 44%, 26%, 20% and 40% respectively. There was significant difference between the two groups ). Conclusion Coronary stenosis in elderly patients with coronary heart disease complicated with type 2 diabetes is more severe than those without type 2 diabetes mellitus.