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目的:观察冠心病合并糖调节异常患者冠脉病变的特点及预后。方法:选择经冠脉造影确诊为冠心病105例,根据血糖情况分为糖耐量正常组(NGT组)30例、糖耐量异常组(IGT组)30例和糖尿病组(DM组)45例。观察3组冠脉病变的特点及心血管不良事件发生率。结果:DM组I、GT组冠脉多支病变率、冠脉末梢病变发生率均显著高于NGT组(P<0.05),DM组与IGT组心血管不良事件发生率显著高于NGT组(P<0.05)。结论:合并糖调节异常的冠心病患者,冠脉病变广泛、严重,且心血管不良事件发生率高,应加强对心血管患者的血糖检测。
Objective: To observe the characteristics and prognosis of coronary artery disease in patients with coronary heart disease and abnormal glucose regulation. Methods: One hundred and five patients with coronary heart disease confirmed by coronary angiography were selected and divided into three groups: normal glucose tolerance group (NGT group), diabetes mellitus group (IGT group) and diabetes mellitus group (DM group). Three groups of coronary artery disease characteristics and cardiovascular adverse events were observed. Results: The incidence of coronary artery disease and coronary lesions in DM group was significantly higher than that in NGT group (P <0.05). The incidence of cardiovascular adverse events in DM group and IGT group was significantly higher than that in NGT group P <0.05). Conclusion: Patients with coronary heart disease with abnormal glucose regulation have extensive and severe coronary artery disease and high incidence of cardiovascular adverse events. Blood glucose test should be strengthened in patients with cardiovascular diseases.