【关键词】 空腹血糖受损糖耐量受损血脂代谢冠状动脉Analysis and study on metabolism of lipidemia and Gensini score of coronary arteryin patients withimpaired fasting glucose and impaired glucose toleranceTian Yingfang. Shijingshan Teaching Hospital of Capital Medical University, Shijingshan Hospital of Beijing City ,Beijing 100043【Abstract】 ObjectiveTo analysis the difference of metabolism of lipidemia and Gensini score of coronary artery in patients with impaired fasting glucose and impaired glucose tolerance. Methods87 patients were examined by coronary angiography.They were divided into three groups: group of IFG (n=21),group of IGT (n=30),group of DM(n=36) according to the WHO standars. For all the patients,age,gender ,BMI,UA,HDL, LDL,TG,TC,and Gensini score of coronary artery were recorded and calculated. ResultsGensini score of IFG group was lower than DM group,the difference was statistically significant(P<0.05). Gensini score of IGT group was lower than DM group, the difference was not statistically significant. The level of TC in DM group was higher than IGT group and IFG group, the difference was statistically significant (P<0.05). The level of TC in IGT group was lower than IFG group, the difference was not statistically significant. There was no statistical difference of the level of TG、HDL、LDL and UA in three groups. ConclusionIGT has more important influence on coronary artery than IFG.IFG and IGT have obvious dyslipidemia. Early intervention is necessary. 【Key Words】 Impaired fasting glucose Impaired glucose tolerance Metabolism of lipidemia Coronary artery[5] 沈晓黎,邓志锋,祝新根, 等.侧裂入路显微手术综合治疗基底节区高血压性脑出血[J].中国综合临床杂志,2007,23 (8):728-729.[6] 陶英群,薛洪利,王涵伟, 等.额颞部大骨瓣开颅侧裂入路治疗合并脑疝的高血压脑基底节出血临床分析[J].中国临床神经外科杂志,2009,14 (1):10-12.[7] Shin DS,Yoon SM,Kim SH,et al.Open Surgical Evacuation of Spontaneous Putaminal Hematomas: Prognostic Factors and Comparison of Outcomes between Transsylvian and Transcortical Approaches[J].J Korean Neurosurg Soc,2008,44 (1):1-7.(收稿日 期:2013-04-02)