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目的临床治疗分析2型糖尿病合并冠心病危险因素。方法选择2014年5月-2015年7月于南开区学府街社区卫生服务中心进行就医的糖尿病患者278例,根据是否并发冠心病分为两组,即观察组(糖尿病合并冠心病组)142例与对照组(糖尿病组)136例。入院前对所有患者均进行全身检查,保证其符合2型糖尿病诊断标准,择选其中并发冠心病的患者142例,待治疗完成后,回顾对比两组患者与糖尿病及冠心病关联的指标资料,包含血压、血糖、胰岛素、糖化血红蛋白(HbA1c)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)等,从而获得一些重要的危险因素。结果观察组患者在年龄、体重(BMI)、舒张压(DBP)、TC和HbAlc等数据差异无统计学意义(P>0.05);而在糖尿病病程、收缩压(SBP)、空腹胰岛素(FINS)、HDL-C、LDL-C等组间数据对比差异有统计学意义(P<0.05)。结论导致2型糖尿病合并冠心病的危险因素有多种,即如发病周期、“三高”问题以及血尿酸等指标,而治疗也从多个方面入手,即如患者通过一些药物加大自身血脂、血压的管控,健康饮食,从而有效减少糖尿病并发冠心病的发病几率。
Objective To analyze the risk factors of type 2 diabetes with coronary heart disease in clinical treatment. Methods A total of 278 diabetic patients were enrolled in Community Health Service Center, Xuefu Street, Nankai District from May 2014 to July 2015. According to whether they had coronary heart disease or not, they were divided into two groups: 142 patients in the observation group (diabetes mellitus combined coronary heart disease group) And control group (diabetes group) 136 cases. All patients were admitted to hospital before the whole body examination to ensure that they meet the diagnostic criteria for type 2 diabetes, which was selected in which patients with coronary heart disease in 142 cases, to be completed after treatment, review and comparison of two groups of patients with diabetes and coronary heart disease index data, Including blood pressure, blood sugar, insulin, HbA1c, TG, HDL-C, LDL-C, etc., so as to obtain some important risk factors . Results There was no significant difference in age, weight, DBP, TC and HbAlc between the observation group and the control group (P> 0.05). However, the duration of diabetes, systolic blood pressure (SBP), fasting insulin , HDL-C, LDL-C and other data were statistically significant differences (P <0.05). Conclusion There are many risk factors for type 2 diabetes complicated with coronary heart disease, such as the onset period, the problem of “three highs” and the serum uric acid. The treatment is also started from many aspects. For example, Their own blood lipids, blood pressure control, a healthy diet, which effectively reduce the incidence of diabetes and coronary heart disease risk.