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目的 :了解中老年糖尿病合并冠心病的易患因素及临床特点 ,并探讨其防治规律。方法 :对本院 1997年 1月～ 2 0 0 0年 12月住院收治的 6 8例糖尿病并发冠心病进行回顾性临床分析。结果 :性别与冠心病的发生率无明显关系(P >0 0 5 ) ,但糖尿病并发冠心病的发病率 ,随病程延长 ,FBG、 2hPBG、HbA1c、高血压、高血脂等水平升高而增高。结论 :中老年糖尿病合并冠心病的临床特点 :①发病率高 ;②临床症状不典型且并发症多 ;③死亡率高。
Objective: To understand the predisposing factors and clinical features of middle-aged and elderly patients with diabetes mellitus complicated with coronary heart disease and to explore their prevention and treatment rules. Methods: A retrospective clinical analysis of 68 hospitalized patients with diabetes and coronary heart disease admitted to our hospital from January 1997 to December 2000 was conducted. Results: There was no significant relationship between gender and the incidence of coronary heart disease (P> 0.05). However, the incidence of coronary heart disease with diabetes was increased with the prolongation of course of disease, FBG, 2h PBG, HbA1c, hypertension and hyperlipidemia . Conclusion: The clinical features of middle-aged and elderly patients with diabetes mellitus and coronary heart disease are as follows: ① The incidence rate is high; ② The clinical symptoms are not typical and the complication rate is high; ③ The mortality rate is high.