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目的了解冠心病与糖代谢的关系,为冠心病合并高血糖的临床诊断提供依据。方法收治冠心病患者125例,检测入院时、出院时和出院3个月3个时段的空腹血糖(FPG)和 OGTT 2h 血糖(2hPG)。结果 125例中原有糖尿病6例,其余119例中并发高血糖的84例,发病率为70.6%。其中 FPG 升高9例(10.7%);空腹血糖受损(IFG)13例(15.5%);糖耐量减低(IGT)28例(33.3%);新诊断糖尿病34例。结论冠心病患者约70%合并高血糖,仅检测 FPG,将有约50%合并糖代谢异常冠心病患者被漏诊,因此应常规进行 OGTT 检测。
Objective To understand the relationship between coronary heart disease and glucose metabolism and provide evidence for the clinical diagnosis of coronary heart disease complicated with hyperglycemia. Methods A total of 125 patients with coronary heart disease were enrolled in this study. Fasting blood glucose (FPG) and OGTT 2h blood glucose (2hPG) were measured at admission, at discharge and at 3 months after discharge. Results There were 6 cases of diabetes mellitus in 125 cases and 84 cases of hyperglycemia in 119 cases, the incidence was 70.6%. FPG increased in 9 cases (10.7%), impaired fasting glucose (IFG) in 13 cases (15.5%), impaired glucose tolerance (IGT) in 28 cases (33.3%) and newly diagnosed diabetes in 34 cases. Conclusion About 70% of coronary heart disease patients with hyperglycemia, only the detection of FPG, about 50% of patients with abnormal glucose metabolism in patients with coronary heart disease were missed, so OGTT should be routinely detected.