Observe And Analyze The Type â…¡ Diabetic Patients With Coronary Artery Disease In Patients With Coronary Angiography And Clinical Characteristics

Background: The people’s living standards improve, diabetes and cardiovasculardisease also increased. According to epidemiological statistical analysis found that:diabetic patients with macrovascular disease (coronary heart disease, atherosclerosis,cerebral infarction and essential hypertension, etc.) is also increasing. The diagnosis andtreatment of type2diabetes in patients with coronary heart disease process, according tothe relevant inspection diabetes and coronary angiography, aim to understand therelationship between the two, in favor of the same after the treatment and prognosisMethods: From August2008to May2013, the patients who were diagnosed ascoronary heart disease with (DM group: n=58,Ⅰ group) or without (NDM group: n=78,Ⅱ group) type2diabetes in the Fourth People’s Hospital of Shenyang City byCoronary artery angiography were selected.Ⅰ group (group of diabetic patients withcoronary heart disease five years>, Ⅰ a group) based on several years of diabetes isdivided into groups of more than5years and less than5years group (≤5years ofdiabetes and coronary heart disease in group Ⅰ b). Record number of years withdiabetes each sample, the results of coronary angiography, glycated hemoglobin,triglycerides (TG), total cholesterol (TC), low-density lipoprotein (LDL-C), highdensity lipoprotein (HDL-C), uric acid (UA), creatinine (Cr), urinary albumin (mALB)and other results. Clinical manifestations and coronary angiography results for each group, each group of laboratory statistical data, find the cause and the resultingdifferences in each group. Focus on the prevalence of glycated hemoglobin and thenumber of years for patients with coronary artery disease group Ⅰ range impact.SP2SS19.0statistical analysis using the software.Results:1. The total cholesterol (TC), triacylglycerol (TG), low density lipoproteincholesterol (LDL-C),venous serum uric acid (UA), creatinine (Cr) and the urine microprotein (mALB) in Ⅰ group were significantly higher than those in the Ⅱ group (P＜0.05), but the high density lipoprotein cholesterol (HDL-C) was significantly lower thanthat in the NDM group (P＜0.05).2. In addition，when in contrast to Ⅱ group，multi-vessel lesion and diffused lesionof coronary artery were more common in Ⅰgroup (P＜0．05)3.Ⅰa group coronary angiography mainly2,3-vessel disorders, Ⅰb groupcoronary angiography mostly a vascular disorder. Ⅰa group of patients mainlyinvolving the left anterior descending coronary vessels (LAD) and left circumflex artery(LCX), on the right coronary artery (RCA) was significantly higher than the proportionⅠb group (P>0.05).4. Ⅰd group coronary angiography mainly2,3-vessel disorders, Ⅰc groupcoronary angiography mostly a vascular disorder. Ⅰc group of patients mainlyinvolving the left anterior descending coronary vessels (LAD) and left circumflex artery(LCX), on the right coronary artery (RCA) was significantly higher than the proportionⅠb group (P>0.05).CONCLUSIONS: For patients with diabetes, we usually pay attention to coronaryheart disease. We should intervene in the patient’s risk factors, the patient’s laboratorydata concerns, prevent complications for coronary vascular injury. To strengthen ourfuture complications for the patient’s blood glucose, lipids and other biochemical indicators of urine protein regulation.