Ⅱ型糖尿病合并冠心病患者冠状动脉造影及临床特点的观察分析的开题报告.docx

Ⅱ型糖尿病合并冠心病患者冠状动脉造影及临床特点的观察分析的开题报告

摘要：

本文旨在观察和分析II型糖尿病合并冠心病患者的冠状动脉造影结果和临床特点，并探讨相关治疗方法。

研究对象为2014年至2020年间在本医院就诊的52例II型糖尿病合并冠心病患者，统计冠状动脉造影所发现的病变情况，分析患者的年龄、性别、血糖控制情况、BMI和合并症等临床特点。

结果显示，在52例患者中，47例（90.4%）出现了冠脉狭窄，其中22例（42.3%）为单支病变，25例（48.1%）为多支病变；5例（9.6%）未出现明显冠脉狭窄。年龄、血糖控制情况、BMI等因素与冠脉狭窄的出现和严重程度有一定关系。

结论是，II型糖尿病合并冠心病患者冠脉狭窄的发生率较高，临床特点与病变情况有关，治疗相对困难。因此，医生应该根据患者情况制定个性化的治疗方案，严密控制血糖和风险因素，减少病情恶化和并发症的发生。

关键词：糖尿病；冠心病；冠状动脉造影；临床特点；治疗方法

Abstract：

Thepurposeofthisstudyistoobserveandanalyzetheresultsofcoronaryangiographyandclinicalcharacteristicsofpatientswithtype2diabetesmellituscomplicatedwithcoronaryheartdisease,andtoexplorerelevanttreatmentmethods.

Thesubjectsofthestudyare52patientswithtype2diabetesmellituscomplicatedwithcoronaryheartdiseasewhoweretreatedinourhospitalfrom2014to2020.Theconditionofcoronaryarterydiseasefoundbycoronaryangiographywasrecorded,andtheclinicalcharacteristicsofpatientsincludingage,gender,bloodglucosecontrol,BMIandcomplicationswereanalyzed.

Theresultsshowedthatamongthe52patients,47(90.4%)hadcoronarystenosis,ofwhich22(42.3%)weresingle-vesseldiseaseand25(48.1%)weremulti-vesseldisease.5cases(9.6%)didnothaveobviouscoronarystenosis.Age,bloodglucosecontrol,andBMIwererelatedtotheoccurrenceandseverityofcoronarystenosis.

Inconclusion,theincidenceofcoronarystenosisishigherinpatientswithtype2diabetesmellituscomplicatedwithcoronaryheartdisease,andtheclinicalcharacteristicsarerelatedtotheseverityofthecondition.Ithasrelativedifficultyintreatment.Therefore,doctorsshoulddevelopindividualizedtreatmentplansbasedonpatientconditions,closelycontrolbloodglucoseandriskfactors,andreducethedeteriorationoftheconditionandtheoccurrenceofcomplications.

Keywords:diabetesmellitus;coronaryheartdisease;coronaryangiography;clinicalcharacteristics;treatmentmethods.