标题：常规心电图ST-T改变对2型糖尿病患者发生冠心病的预测价值

      作者：赵秋实 1，王大杰 2，夏 敏 1，唐 娟 1，潘 健 1，王 澍 1，杨 琳 1，徐苏红 1
    （盐城市第三人民医院心电图室 1、心内科 2，江苏 盐城 224000）

      卷次： 2013年24卷13期

      【摘要】 目的 探讨2型糖尿病患者常规心电图ST-T改变与其冠心病发生率的相关性。方法 回顾性研
究138例患有2型糖尿病并行选择性冠状动脉造影检查（CAG）的住院患者病历资料，根据常规心电图ST-T情况
分为ST-T改变组与非ST-T改变组；根据CAG检查结果比较两组间的冠心病发生率。结果 ST-T改变组冠心病
的发生率为84.1%，非ST-T改变组冠心病的发生率为30.4%，两组之间差异有统计学意义（P<0.05）。结论 常规
心电图ST-T改变对2型糖尿病患者发生冠心病具有良好的预测价值。

      【关键词】 常规心电图；ST-T改变；冠心病；糖尿病

      【中图分类号】 R587.1 【文献标识码】 A 【文章编号】 1003—6350（2013）13—1939—02


Predictive value of ST-T change in conventional electrocardiography on the incidence of coronary artery disease in
patients with type 2 diabetes mellitus.
ZHAO Qiu-shi 1, WANG Da-jie 2, XIA Min 1, TANG Juan 1, PAN Jian 1, WANG Shu 1,
YANG Lin 1, XU Su-hong 1. Electrocardiographic room 1, Department of Cardiology 2, Yancheng Third People's Hospital,
Yancheng 224000, Jiangsu, CHINA

【Abstract】 Objective To investigate the predictive value of ST-T change in conventional electrocardiogra-
phy on the incidence of coronary artery disease (CHD) in patients with type 2 diabetes mellitus. Methods This retro-
spective study involved the clinical data of 138 hospitalized patients with type 2 diabetes mellitus. All patients were di-
vided into ST-T change group and non-ST-T change group according to conventional electrocardiography and experi-
enced coronary angiography (CAG) in their hospitalized time. The incidence of CHD was compared between ST-T
change group and non-ST-T change group. Results The incidence of CHD in ST-T change group was 84.1%, and
that in non-ST-T change group was 30.4%. The difference was statistically significant (P<0.05). Conclusion The
ST-T change in conventional electrocardiography has a satisfactory value for predicting the incidence of CHD in pa-
tients with type 2 diabetes mellitus.