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目的:分析冠心病合并2型糖尿病的临床特点。方法:回顾性分析100例冠心病合并2型糖尿病患者的临床资料,将其分为观察组,另选择同期冠心病未合并2型糖尿病患者100例为对照组,比较两组患者的血脂及冠脉病变情况。结果:观察组的TG、LDL-C水平均显著低于对照组,而HDL-C水平显著高于对照组,差异具统计学意义(P<0.05)。观察组各冠状动脉主要分支病变发生率稍高于对照组,差异无统计学意义(P>0.05);观察组的单支病变显著低于对照组,差异具统计学意义(P<0.05);观察组的多支病变、闭塞病变及弥漫性病变显著高于对照组,差异具统计学意义(P<0.05)。结论:与单纯的冠心病患者相比,合并2型糖尿病患者更易发生心功能不全,血脂异常更明显,冠脉病变也更严重。
Objective: To analyze the clinical features of type 2 diabetes mellitus with coronary heart disease. Methods: A retrospective analysis of 100 cases of coronary heart disease with type 2 diabetes in patients with clinical data, were divided into observation group, the other with the same period of coronary heart disease without type 2 diabetes in 100 patients as control group, comparing the two groups of patients with blood lipids and coronary Pulse disease. Results: The levels of TG and LDL-C in the observation group were significantly lower than those in the control group, while the levels of HDL-C in the observation group were significantly higher than those in the control group (P <0.05). The incidence of major branches of coronary artery in the observation group was slightly higher than that in the control group (P> 0.05). The single vessel lesion in the observation group was significantly lower than that in the control group (P <0.05). Multivariate, occlusive and diffuse lesions in the observation group were significantly higher than those in the control group, with statistical significance (P <0.05). Conclusion: Compared with patients with simple coronary heart disease, patients with type 2 diabetes are more likely to have heart failure, dyslipidemia is more obvious, and coronary artery disease is more serious.