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guan xin bing bing fa 2 xing tang niao bing huan zhe zao qi shen gong neng bu quan dui guan mai bing bian de ying xiang
Author(s): 
Pages: 527-528
Year: Issue:  5
Journal: Research of Traditional Chinese Medicine

Keyword:  冠心病 2型糖尿病 估测的肾小球滤过率;
Abstract: 目的探讨冠心病并发2型糖尿病(T2DM)患者早期肾功能不全对冠状动脉病变的影响。方法2008年10月—2009年10月行冠状动脉造影术(CAG)确诊为冠心病且依据现有检查未诊断肾功能不全(CKD)无手术禁忌证的患者共175例。分组比较相关因素及其冠脉造影情况。结果发现在血清肌酐(Cr)及尿素氮(BUN)为正常值范围时共有46例(26.3%)患者出现不同程度肾功能不全。在血脂方面冠心病合并糖尿病组的TG、LDL-C水平明显升高且HDL-C水平下降。结论DM与轻度肾功能不全均可增加冠脉病变严重程度,如两者同时存在,则提示患者预后不佳。
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