|本期目录/Table of Contents|

[1]王兴元,曹红兵,周红霞,等.前驱糖尿病对冠心病侧支循环形成的影响[J].医学研究与战创伤救治(原医学研究生学报),2011,13(04):327-329.
　WANG Xing-yuan,CAO Hong-bin,ZHOU Hong-xia,et al.Influence of prediabetes on coronary collateral formation in patients with documented occlude coronary arteries[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2011,13(04):327-329.
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前驱糖尿病对冠心病侧支循环形成的影响()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第13卷
期数:
2011年04期
页码:
327-329
栏目:
出版日期:
2011-07-20

文章信息/Info

Title:
Influence of prediabetes on coronary collateral formation in patients with documented occlude coronary arteries
文章编号:
1672-271X(2011)04-0327-03
作者:
王兴元1; 曹红兵1; 周红霞1; 杨善进1; 施海明2; 罗心平2
1.212001 江苏镇江,解放军359医院内三科；2.200040 上海，上海复旦大学附属华山医院心内科
Author(s):
WANG Xing-yuan1; CAO Hong-bin1; ZHOU Hong-xia1; YANG Shan-jin1; SHI Hai-ming2; LUO Xin-ping2.
1.359 Hospital of PLA,Zhenjiang,Jiangsu 212001,China;2.Department of Cardiology,Huashan Hospital,Fudan University,Shanghai 200040,China
关键词:
前驱糖尿病; 冠心病; 侧支循环
Keywords:
prediabetes;  coronary artery disease;  coronary collateral circulation
分类号:
R587.23
DOI:
-
文献标志码:
A
摘要:
目的 调查前驱糖尿病对冠状动脉侧支循环形成的影响。方法 对经冠状动脉造影证实至少有一个冠状动脉主支闭塞的患者713例进行研究。使用Rentrop计分系统评定侧支循环，0和1级评定为不良，2级和3级评定为良好。根据美国糖尿病协会标准确定前驱糖尿病并把患者分为前驱糖尿病组和正常对照组。其中321例患者纳入前驱糖尿病组，391例纳入正常对照组，进行比较。结果 前驱糖尿病组的不良冠脉侧支循环(coronary collateral circulation,CCC)比例较高，与正常对照组比较差异有统计学意义(P<0.01)。逻辑回归分析提示空腹血糖是CCC独立的预测因子(P<0.01,优势比=0.878)。结论 本研究提示，同正常空腹血糖患者相比，前驱糖尿病影响了侧支循环的形成。
Abstract:
Objective To determine the influence of prediabetes on coronary collateral development in patients with coronary artery disease.Methods 713 patients with at least one coronary occlusion of a major coronary vessel at diagnostic angiography were retrospectively enrolled.Collateral development was graded with Rentrops scoring system.Rentrop grades of 0 and 1 indicate poor CCC whereas 2 and 3 indicate good CCC.The prediabetes was defined according to American Diabetes Association definition and patients were then divided into having prediabetes group (321 patients) and control group (391 patients).Results Compared with control group,poor CCC was higher in the prediabetes group (P<0.01).Multivariable logistic regression analysis showed that fast glucose level was the only independent predictor of CCC (P<0.01,odds ratio=0.878).Conclusion This study shows that in patients with coronary occlusion,collateral circulation is impaired in patients with prediabetes when compared to patients with coronary artery disease who had normal fast glucose level.

参考文献/References:

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2011-07-20