【摘要】 目的观察血糖控制水平对冠心病合并Ⅱ型糖尿病患者的冠状动脉病变程度的影响。方法选择2012年1月至2014年12月我院心内科治疗的150例经冠脉造影确诊为冠心病的Ⅱ型糖尿病患者作为糖尿病组,同时选取150例不合并糖尿病的冠心病患者作为冠心病组。检测血压、身高、体重、体重指数(BMI)、生化指标、糖化血红蛋白,并记录一般情况。结果冠脉造影显示,糖尿病组患者冠状动脉狭窄程度、病变支数及弥漫性病变显著高于冠心病组患者,差异具有统计学意义(P<0.05);糖尿病组患者中,血糖控制不良组冠脉病变支数及弥漫性病变显著高于血糖控制理想组,差异具有统计学意义(P<0.05)。结论糖尿病加重冠状动脉病变程度,积极控制糖尿病对冠心病的治疗有重要意义。更多还原

【Abstract】 Objective To observe the blood sugar control level in patients with coronary heart disease(CHD)with type 2 diabetes coronary artery lesions.Methods Choose between January 2012 and December 2012 in cardiology,Inner Mongolia autonomous region people’s hospital treatment of 150 cases of coronary angiography diagnosis of coronary heart disease(CHD)in patients with type 2 diabetes as diabetes group,at the same time to select 150 cases of coronary heart disease patients with diabetes mellitus not as coronary heart disease group.Detection of blood pressure,height,weight,body mass index(BMI),biochemical indicators,glycosylated hemoglobin,and record in general.Results Coronary angiography showed that the degree of coronary artery stenosis in patients with diabetes mellitus group,the lesion counts and diffuse lesions was significantly higher than that of patients with coronary heart disease group,the difference was statistically significant(P<0.05);In patients with diabetes mellitus group,poor control of blood sugar group of coronary artery lesions counts and diffuse lesions significantly higher than that of ideal blood sugar control group,the difference was statistically significant(P<0.05).Conclusion Diabetes increase coronary artery lesion severity,actively controlling diabetes is important for the treatment of coronary heart disease.更多还原