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目的研究2型糖尿病并发心律失常的相关因素。方法通过对160例住院正规治疗的2型糖尿患者,根据常规心电图检测,分为心律失常组65例,无心律失常组95例,并对两组患者的相关临床资料进行分析比较。结果心律失常组发生率为40.6%,其中房性早搏多见,也有少数房颤、室上性心动过速等,发现2型糖尿病伴高血压、冠心病更易出现心律失常(P<0.05);且心律失常组的年龄、体重、体重指数、糖尿病病程、病血压病程、冠心病病程、空腹胰岛素、LDL-C均高于无心律失常组(P<0.05),分析显示患者年龄、病程及多种疾病均为心律失常的高危因素。结论 2型糖尿病并发其它疾病时,更易出现心律失常。
Objective To study the related factors of type 2 diabetes with arrhythmia. Methods According to the routine electrocardiogram (ECG) test, 160 patients with type 2 diabetes mellitus who were regular hospitalized were divided into 65 cases of arrhythmia group and 95 cases of no arrhythmia group. The clinical data of the two groups were analyzed and compared. Results The incidence of arrhythmia group was 40.6%. Among them, atrial premature beats were more common, and a few of atrial fibrillation and supraventricular tachycardia were found. Type 2 diabetes mellitus with hypertension and coronary heart disease were more likely to have arrhythmia (P <0.05). The arrhythmia group had higher age, weight, body mass index, duration of diabetes, disease duration, duration of coronary heart disease, fasting insulin and LDL-C than those without arrhythmia (P <0.05) The diseases are risk factors for arrhythmia. Conclusion Type 2 diabetes complicated by other diseases, more prone to arrhythmia.