冠心病合并糖尿病的临床特点分析.docVIP

精品论文 参考文献 冠心病合并糖尿病的临床特点分析 武汉市黄陂区中医院内科 湖北武汉 430300 摘要：目的：分析冠心病合并糖尿病的临床特点。方法：回顾性分析172例患者的临床资料，其中82例为冠心病合并2型糖尿病患者，将其分为观察组，余者90例为单纯冠心病患者，将其分为对照组。比较两组患者的空腹血糖、HbAlc、血脂水平及舒张压、收缩压。结果：观察组的空腹血糖、HbAlc水平均显著高于对照组，差异具有统计学意义；（Plt;0.05）；血脂检测结果中，仅TC一项指标两组差异无显著性，观察组的TG、FPG、HDL ndash; C、LDL -C等指标与对照组均有显著差异，差异具统计学意义（Plt;0.05）；观察组的收缩压、舒张压水平也高于对照组，差异具有统计学意义（Plt;0.05）。结论：与单纯冠心病患者相比，冠心病合并糖尿病患者的临床症状更加严重，检测指标均出现异常，危险性???高，因此临床治疗过程中要特别注意。 关键词：冠心病；糖尿病；临床特点 Objective：to analyze the clinical characteristics of coronary heart disease with diabetes mellitus.Methods：the clinical data of 172 patients were retrospectively analyzed.82 patients with coronary heart disease with type 2 diabetes were divided into the observation group and the other 90 cases as the single crown. Patients with heart disease，will be divided into the control group.Fasting blood glucose，HbAlc，lipid levels and blood pressure，systolic blood pressure and systolic blood pressure were compared between the two groups.Results：fasting blood glucose，HbAlc water in the observation group were significantly higher than those in the control group，the difference was statistically significant（Plt;0.05）.The results showed that there was no significant difference between TC，C，HDL，-C TG and FPG LDL，and the difference was statistically significant（Plt;0.05）.Conclusion：compared with the patients with coronary heart disease，the clinical symptoms of patients with coronary heart disease complicated with diabetes are more serious，the detection indexes are abnormal，and the risk is higher，so special attention should be paid to the clinical treatment. Keywords coronary heart disease；diabetes mellitus；clinical characteristics 冠心病是临床常见的心血管疾病，老年人为高发人群，主要是由于其机体各项机能退化所致。冠心病常合并其它并发症，糖尿病不仅是其危险因素，也是常见并发症之一。冠心病患者一旦合并糖尿病，不仅会增加治疗难度，而且预后差，心血管突出事件的机率也明显升高。文章以单纯冠心病患者为参照对象，分析了冠心病合并糖尿病的临床特点，现报道如下。 1 临床资料 1.1 一般资料 回顾性分析82例冠心病合并糖尿病患者的临床资料，与同期90例 未合并糖尿病的冠心病患者的临床资料进行对比；172例患者中，男88例，女84例，年龄（61.24plusmn;6.9）岁；吸烟者77例；其中冠心病合并糖