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目的探讨急性心肌梗死合并血糖异常患者的冠状动脉造影特点。方法收集187例行冠脉造影术的急性心肌梗死患者病例资料,根据血糖是否异常分为血糖异常组和血糖正常组,分析两组患者的冠状动脉造影资料。结果急性心肌梗死并发血糖异常者三支冠状动脉病变的发生率高于血糖正常组(P<0.01);血糖异常组弥漫性病变血管的比例高于血糖正常组(P<0.01)。结论急性心肌梗死合并血糖异常患者冠状动脉病变复杂且严重,多支血管病变和弥漫性病变构成比例高于血糖正常患者。
Objective To investigate the characteristics of coronary angiography in patients with acute myocardial infarction complicated by abnormal blood glucose. Methods A total of 187 patients with acute myocardial infarction who underwent coronary angiography were enrolled in this study. Coronary angiography data of two groups were analyzed according to whether the abnormal blood glucose was divided into abnormal glucose group and normal blood glucose group. Results The incidence of coronary artery lesions in patients with acute myocardial infarction complicated by abnormal blood glucose was higher than that in normal blood glucose group (P <0.01). The proportion of blood vessels in patients with abnormal blood glucose was higher than that in normal blood glucose group (P <0.01). Conclusion The patients with acute myocardial infarction complicated by abnormal blood glucose have complicated and severe coronary lesions, and the proportion of multivessel disease and diffuse lesions is higher than that of patients with normal blood glucose.