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目的对冠心病合并糖耐量异常患者冠脉病变特点及危险因素进行探究。方法选取行冠脉造影术的193例冠心病患者,按照糖尿病诊断标准将所有患者分成冠心病a组(122)、冠心病合并糖耐量异常b组(39)与冠心病合并糖尿病c组(32)。结果在钙化指数、总狭窄指数、血管病变支数以及各支狭窄指数方面,c组与b组比较差异无统计学意义(P>0.05),在钙化指数方面,c组与b组明显高于a组,P<0.05,其差异有统计学意义。在总狭窄指数方面,c组与b组明显要比a组高,P<0.05,其差异有统计学意义。结论引发冠脉粥样硬化的主要危险因素就是肥胖、高血压、高血脂以及胰岛素抵抗等,所以要对糖耐量异常患者加强冠心病的预防。
Objective To investigate the characteristics and risk factors of coronary artery disease in patients with coronary heart disease complicated with impaired glucose tolerance. Methods A total of 193 patients with coronary artery disease undergoing coronary angiography were enrolled. All patients were divided into group a (122), group C (36) with coronary heart disease complicated with impaired glucose tolerance (group C) ). Results There was no significant difference in calcification index, total stenosis index, vascular lesion count and stenosis index between c group and b group (P> 0.05), while calcification index was significantly higher in c group and b group a group, P <0.05, the difference was statistically significant. The total stenosis index, c group and b group was significantly higher than the a group, P <0.05, the difference was statistically significant. Conclusions The main risk factors of coronary atherosclerosis are obesity, hypertension, hyperlipidemia and insulin resistance. Therefore, we should strengthen the prevention of coronary heart disease in patients with impaired glucose tolerance.