中国全科医学2017，Vol.20Issue(13)：1597-1600,1605,5.DOI:10.3969/j.issn.1007-9572.2017.13.014
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
Characteristics of Carotid Artery Lesion between Diabetic Patients and Non-diabetic Patients Undergoing Coronary Artery Reconstruction
摘要
Abstract
Objective To discuss characteristics of carotid artery lesion between diabetic patients and non-diabetic patients undergoing coronary artery reconstruction.Methods 461 patients who were to undergo coronary artery bypass grafting(CABG) in Beijing Anzhen Hospital,Capital Medical University from January 2014 to June 2015 were selected,and were divided into diabetic group(n=223) and non-diabetic group(n=238).Preoperative carotid artery ultrasonography was used to assess the status of carotid artery lesion of and the characteristics of carotid artery lesions in both groups were analyzed.Results There was no significant difference in gender,average age,incidence of hypertension and family history of ischemic heart disease between the two groups(P>0.05).The history of smoking in diabetic group was lower than that in non-diabetic group,and the difference was statistically significant(P<0.05).The incidence of dyslipidemia,history of cerebrovascular accident and transient ischemic attack(TIA) in diabetic group was higher than that in non-diabetic group(P<0.05).The incidence of left main branch stenosis,diffuse stenosis of left anterior descending branch and left circumflex artery stenosis≥ 50% in diabetic group was higher than that of non-diabetic group(P<0.05).The incidence of left anterior descending artery stenosis≥ 50%,left circumflex diffuse stenosis,right coronary artery diffuse stenosis,right coronary artery stenosis≥ 50%,atrial interventricular diffuse stenosis and atrial intermediate branch stenosis≥ 50% was not significantly different between two groups(P>0.05).The incidence of carotid artery in diabetic group was higher than that in non-diabetic group.The incidence of carotid artery stenosis≥ 50% in diabetic group was significantly higher than that in non-diabetic group(P<0.05).Among them,the incidence of right common carotid artery stenosis of 50% to 69%,right carotid artery stenosis of 50% to 69%,left common carotid artery stenosis of 50% to 69%,left internal carotid artery stenosis ≥ 70%,left carotid artery stenosis of 50% to 69%,left carotid artery stenosis ≥ 70% in diabetic group was significantly higher than that in non-diabetic group(P<0.05).There was no significant difference in the incidence of right common carotid artery stenosis≥ 70%,right internal carotid artery stenosis of 50% to 69%,right internal carotid artery stenosis≥ 70%,right carotid artery stenosis ≥ 70%,left common carotid artery stenosis ≥ 70%,left internal carotid artery stenosis of 50% to 69% between two groups(P>0.05).Conclusion The risk of diabetic patients after CABG developing severe carotid artery stenosis is higher than non-diabetic patients,and the main combined branches are left and right common carotid arteries and internal carotid artery.关键词
糖尿病/颈动脉狭窄/心肌血管重建术Key words
Diabetes mellitus/Carotid stenosis/Myocardial revascularization分类
医药卫生引用本文复制引用
孙秀芹,包柄楠,赵怡,周迎生..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[J].中国全科医学,2017,20(13):1597-1600,1605,5.基金项目
北京市科委科研基金项目(Z131100004013044)--老年糖尿病冠心病患者自我血糖监测方法建立与应用 （Z131100004013044）
