行冠状动脉重建术的糖尿病与非糖尿病患者颈动脉病变特点研究

发布时间：2018-06-22 06:05

  本文选题：糖尿病 + 颈动脉狭窄　； 参考：《中国全科医学》2017年13期

【摘要】：目的探讨行冠状动脉重建术的糖尿病与非糖尿病患者颈动脉病变特点。方法选取2014年1月—2015年6月首都医科大学附属北京安贞医院收治的因冠心病准备行冠状动脉旁路移植(CABG)术的患者461例,根据是否合并糖尿病分为糖尿病组(n=223)和非糖尿病组(n=238)。术前采用颈动脉超声检查评估患者的颈动脉病变情况,并分析两组患者的颈动脉病变特点。结果两组患者性别、平均年龄、合并高血压、缺血性心脏病家族史比较,差异无统计学意义(P0.05);糖尿病组患者吸烟史低于非糖尿病组,合并血脂异常、脑血管意外史、短暂性脑缺血发作(TIA)史高于非糖尿病患者,差异有统计学意义(P0.05)。糖尿病组患者左主干狭窄、左回旋支≥50%狭窄、左前降支弥漫性狭窄发生率高于非糖尿病组,差异有统计学意义(P0.05);两组患者左前降支≥50%狭窄、左回旋支弥漫性狭窄、右冠状动脉弥漫性狭窄、右冠状动脉≥50%狭窄、心房中间支弥漫性狭窄、心房中间支≥50%狭窄发生率比较,差异无统计学意义(P0.05)。糖尿病组患者颈动脉病变程度高于非糖尿病组,颈动脉≥50%狭窄发生率高于非糖尿病组,差异有统计学意义(P0.05)。其中,糖尿病组患者右颈总动脉50%~69%狭窄、右颈动脉50%~69%狭窄、左颈总动脉50%~69%狭窄、左颈内动脉≥70%狭窄、左颈动脉50%~69%狭窄发生率高于非糖尿病组,差异有统计学意义(P0.05);两组患者右颈总动脉≥70%狭窄、右颈内动脉50%~69%狭窄、右颈内动脉≥70%狭窄、左颈动脉≥70%狭窄、右颈动脉≥70%狭窄、左颈总动脉≥70%狭窄、左颈内动脉50%~69%狭窄发生率比较,差异无统计学意义(P0.05)。结论行冠状动脉重建术的糖尿病患者发生严重颈动脉狭窄的风险高于非糖尿病患者,主要合并分支为左右颈总动脉和颈内动脉。
[Abstract]:Objective to investigate the characteristics of carotid artery lesions in diabetic and non-diabetic patients undergoing coronary artery reconstruction. Methods from January 2014 to June 2015, 461 patients with coronary artery bypass grafting (CABG) who were treated in Beijing Anzhen Hospital affiliated to Capital Medical University were divided into two groups: diabetes mellitus group (n = 223) and non-diabetic group (n = 238). Carotid artery lesions were evaluated by carotid ultrasound before operation and the characteristics of carotid artery lesions were analyzed in both groups. Results there was no significant difference in the family history of hypertension and ischemic heart disease between the two groups (P0.05). The history of transient ischemic attack (TIA) was higher than that of non-diabetic patients (P0.05). The incidence of left main stenosis, left circumflex branch 鈮，

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