糖尿病患者的动脉造影特征及其与CRP水平相关性研究.doc

精品论文 参考文献 糖尿病患者的动脉造影特征及其与CRP水平相关性研究 陈青梅 　　（江津区中心医院 重庆 402260） 　　【摘要】目的：分析糖尿病患者与普通冠状动脉动脉造影（DSA）患者各自的的病变特征，并测定高敏C反应蛋白(HS-CRP)水平，探讨HS-CRP检测的诊断意义。方法：回顾性分析2010年1月-2012年12月间收治的60例冠脉造影患者的临床资料，分为糖尿病和普通造影组2组。分析DSA的病变特点、高敏C反应蛋白水平及其与DSA造影结果的相关性。结果：与普通冠心病的冠脉造影组患者相比，糖尿病合并冠心病患者动脉造影提示：冠脉多存在多支、弥漫性病变，侧支循环形成差，症状较重，3支及多支病变多见，左主干严重病变也多见，少部分患者也可见完全闭塞，较多患者也可见到明显钙化，甚至出现局部血栓，HS-CRP水平明显升高，与病变的严重程度有一定相关性(Plt;0.05)。结论：DSA检测显示糖尿病患者冠脉造影病变有其独特性，HS-CRP升高，病情重，需要更积极的治疗。 　　【关键词】糖尿病 动脉造影 高敏C反应蛋白 　　【中图分类号】R587.1 【文献标识码】A 【文章编号】1672-5085（2014）08-0043-02 　　【Abstract】 Objective:To analyze the characteristics of the diabetic patients and patients with normal coronary artery angiography (DSA),and determination of the level of high-sensitivity C-reactive protein (HS-CRP),to explore the diagnostic significance of the HS-CRP testing.Methods:Retrospective analysis the clinical data of 60 cases of patients with coronary angiography was treated between January 2010-December 2012.Theywere divided into 2 groups,diabetes and the general angiography.DSA,lesion characteristics,high-sensitivity C-reactive protein levels and its correlation with DSA angiography were analyzed.results:Compared with the conventional coronary angiography in patients with coronary heart disease,the artery angiography showed that the patients with diabetes mellitus complicated with coronary heart disease:Coronary are usually multi vessel,diffuse lesion,lateral circulation bad,and serious symptoms.3-and multi branch lesion and left main coronary artery disease are often.Complete occlusion is also found in a minority of patients. Obvious calcification can also be also found in many patients,and local thrombosis is even the worse.They are accompany with HS-CRP level significantly increased,which is a certain correlation with the severity of lesions (Plt;0.05).Conclusion:DSA test showed that the Coronary angiography in patients with diabetes disease is unique,the HS-CRP was elevated,