Bhan A, Das B, Wasir H S, Kaul U, Venugopal P
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi.
Int J Cardiol. 1991 May;31(2):155-9. doi: 10.1016/0167-5273(91)90210-g.
Diabetics are believed to have more extensive and diffuse lesions of the coronary arteries in presence of coronary arterial disease. We studied prospectively 52 diabetics with coronary arterial disease who underwent coronary arterial bypass grafting and evaluated their pre-operative symptomatology, angiographic appearance of coronary arteries, coronary arterial dimensions as assessed at surgery, and the post-operative complications. These were compared to 52 age and sex matched non-diabetic controls undergoing surgery during the same period. There was no statistically significant difference in the incidence of pre-operative symptomatology or frequency of myocardial infarction in the two groups. Left ventricular angiographic findings were also comparable, as was the observation on the extent and severity of coronary arterial disease as assessed by angiography and at surgery. Hence, we recommend coronary arterial bypass grafting to diabetics with the same criteria as are applied to non-diabetics, confident that there will be no added morbidity and mortality.
糖尿病患者被认为在患有冠状动脉疾病时，冠状动脉病变更广泛且弥漫。我们对52例接受冠状动脉搭桥手术的糖尿病冠心病患者进行了前瞻性研究，评估了他们术前的症状、冠状动脉造影表现、手术中评估的冠状动脉尺寸以及术后并发症。将这些与同期接受手术的52例年龄和性别匹配的非糖尿病对照组进行比较。两组术前症状发生率或心肌梗死发生率无统计学显著差异。左心室造影结果也具有可比性，通过造影和手术评估的冠状动脉疾病范围和严重程度的观察结果也是如此。因此，我们建议以适用于非糖尿病患者的相同标准对糖尿病患者进行冠状动脉搭桥手术，相信不会增加发病率和死亡率。
