摘要目的 分析2型糖尿病患者并发冠心病的临床特点,为临床预防和治疗糖尿病并发冠心病提供依据.方法 选取2006年12月至2010年6月住院行冠状动脉造影术患者,其中2型糖尿病并发冠心病的病例46例,作为治疗组;2型糖尿病不合并冠心病病例30例为对照Ⅰ组;无糖尿病的冠心病患者50例为对照Ⅱ组.比较分析各组患者的一般情况、血糖、血压、血脂、糖化血红蛋白(HbA1C)和胰岛素敏感指数(ISI);并把治疗组与对照Ⅱ组患者冠脉造影结果进行对比.结果 三组比较后发现,高血压、HbA1C、三酰甘油(TG)、低密度脂蛋白(LDL-C)、ISI与糖尿病患者发生冠心病存在一些关系;糖尿病合并冠心病患者以3支病变多见.结论 2型糖尿病患者致动脉粥样硬化的因素多而复杂,临床中应针对上述因素加强综合观察与治疗.

abstractsObjective To investigate the characteristic of type 2 diabetes (T2DM)patients with coronary heart disease(CHD), and provide methods for prevention and treatment for patients who suffer from CHD.Methods The hospitalized patients from December 2006 to June 2010 were divided into three groups. The treatment group contents 46 examples who were T2DM with CHDM. The control group Ⅰ contents 30 examples who were T2DM without CHDM. The control group Ⅱ contents 50 examples who were CHD without T2DM. Compare their ordinary circumstances. The blood sugar, BP, TC, TG, HDL, LDL, HbA1C, C-P, Ins were measured. Insulin sensitive index(ISI)was calculated. Results Three groups have obvious statistical difference in BP, TC, LDL-C, ISI, HbA1C. Diabetic patients with coronary heart disease behave more common with three lesions. Conclusion In the clinical job should strengthen composite observation and treatment because the factors of atherosclerosis in T2DM patients are numerous and complex.