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选取我院2009年6月～2011年6月209例2型糖尿病患者,根据冠状动脉造影结果等资料分为冠心病组和无冠心病的对照组;对两组年龄、糖尿病病程、空腹血糖、血尿酸、血脂、血压、血肌酐等各项指标并进行比较,并分析冠心病组的临床资料。结果:①2型糖尿病并发冠心病组男性多于女性,不稳定心绞痛、无痛性心绞痛、心肌梗死所占比率高,心肌梗死发生在前壁比率高,2型糖尿病合并冠心病的患者往往合并糖尿病的其他微血管和大血管并发症。②2型糖尿病合并冠心病组的年龄、糖尿病病程、血尿酸(SUA)、血肌酐(SCr)、血甘油三脂(TG)、糖化血红蛋白(HbA1c)、体重指数(BMI)、收缩压(SBP)、舒张压(DBP)较对照组有统计学差异,P<0.05。结论:2型糖尿病并发冠心病应注意排除是否为心肌梗死,无痛性心绞痛发生比率高值得关注,本文资料显示年龄、糖尿病病程、血尿酸(SUA)、血肌酐(SCr)、血甘油三脂(TG)、糖化血红蛋白(HbA1c)、体重指数(BMI)、收缩压(SBP)、舒张压(DBP)是2型糖尿病合并冠心病主要危险因素。
Select our hospital from June 2009 to June 2011 209 cases of type 2 diabetes patients, according to coronary angiography results and other data is divided into coronary heart disease group and no coronary heart disease control group; two groups of age, duration of diabetes, fasting blood glucose, Blood uric acid, blood lipids, blood pressure, serum creatinine and other indicators and compared, and analysis of coronary heart disease clinical data. Results: ①The incidence of unstable angina pectoris, angina pectoris and myocardial infarction were higher in type 2 diabetes mellitus patients with coronary heart disease than those in women with type 2 diabetes mellitus. The incidence of myocardial infarction was higher in patients with type 2 diabetes mellitus than in women with type 2 diabetes mellitus. Other microvascular and macrovascular complications. ②The age, duration of diabetes, SUA, SCr, TG, HbA1c, SBP and SBP in patients with type 2 diabetes mellitus and coronary heart disease, , DBP was significantly higher than that of the control group (P <0.05). CONCLUSIONS: Type 2 diabetes mellitus complicated with coronary heart disease should pay attention to rule out whether it is myocardial infarction. The incidence of painless angina pectoris is of high concern. This paper shows that age, duration of diabetes, serum uric acid (SUA), serum creatinine (SCr), triglyceride TG, HbA1c, BMI, DBP and DBP are the main risk factors of type 2 diabetes mellitus with coronary heart disease.