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本文作者对照性研究糖尿病患者与非糖尿病患者的冠状动脉病变程度、分布及冠状动脉痉挛频率。方法:经冠状动脉造影诊断为缺血性心脏病患者中的糖尿病50例(男29,女21,平均年龄63±7岁)及非糖尿病50例(男37,女13,平均年龄60±8岁)。不包括瓣膜病、心肌病及PTCA、CABG后的患者。按Judkias法进行对照性冠状动脉造影,冠状动脉痉挛指经冠脉注入硝酸甘油后的造影相比较,对照或静注麦角新硷后的造影,有1支以上收缩>50%。冠心病危险因素包括肥胖(超标准体重20%);高脂血症(胆固醇>5.7mmol/L)高尿酸血症(血尿酸超过476μmol/L)。对数据作了统计学处理。结果:心绞痛、心肌梗塞在糖尿病患者分别为
The authors compared the degree of coronary artery disease, distribution, and coronary artery spasm in diabetic and nondiabetic patients. Methods: Fifty patients (male 29, female 21, mean age 63 ± 7 years) and 50 non-diabetic patients (male 37, female 13, average age 60 ± 8) with coronary artery disease diagnosed by coronary angiography year old). Does not include valvular disease, cardiomyopathy and PTCA, CABG patients. Control by Judkias coronary angiography, coronary artery spasm refers to coronary angiography after injection of nitroglycerin compared with control or intravenous ergometrine after angiography, more than 1> 50% contraction. Coronary heart disease risk factors include obesity (overweight 20%); hyperuricemia (cholesterol> 5.7 mmol / L) hyperuricemia (serum uric acid over 476 μmol / L). The data was statistically processed. Results: Angina pectoris and myocardial infarction were respectively in diabetic patients