【摘要】 目的分析伴有临床症状的代谢综合症(MS)患者的冠状动脉造影阳性率及冠脉病变程度。方法对符合中华内分泌协会诊断标准并伴有临床症状的40例代谢综合症患者(MS组),与同样伴有临床症状的40例不具备诊断标准的非MS患者(非MS组)均进行冠状动脉造影,并进行对比分析。结果MS组中32例(80%)冠状动脉造影异常,其中单支病变4例(12.5%),双支病变12例(37.5%),三支病变16例(50%),弥漫性病变22例(68.75%)。而非MS组中,22例冠动脉造影异常,其中单支病变9例(40.9%),双支病变6例(27.3%),三支病变7例(31.8%),弥漫性病变10例(45.5%)。结果伴有临床症状的MS患者与非MS患者相比,在冠脉造影的阳性率,双支、三支、弥漫性病变发生率上均明显高于非MS组;而在单支病变的发生率上明显低于后者(P<0.01)。结论代谢综合症是引起冠状动脉损害的重要综合危险因素,冠状动脉造影对伴有临床症状的代谢综合症(MS)患者具有非常重要的诊断价值。更多还原

【Abstract】 Objective To analysis the positive rate of coronary angiography and the severity of coronary lesions in patients with symptomatic metabolic syndrome(MS).Methods 40 patients with symptomatic MS and 40 patients with symptomatic nor-MS were divided into MS group and nor-MS group,the patients underwent coronary angiography.Results The positive rate of coronary and the incidences of double vessl(three vessel)and diffuse vessel of MS group were significantly higher than that of nor-MS group(80% vs 55%,30% vs 15% and 40% vs 17.5%)respectively,but which of single vessel of MS group were significantly lower than that of nor-MS group(10% vs 22.5%)(P<0.01).Conclusion MS is a syndromic risk factor of the coronary artery disese,coronary angiograghy has significant value in diagnosing symptomayic MS.更多还原