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目的 探讨糖尿病肾病 (DN)并心肌损害的危险因素。方法 比较糖尿病肾病伴或不伴心肌损害的临床特征及其心肌损害的危险因素。结果 DN伴心肌损害组病程长 (P<0 .0 5 ) ,空腹血糖及糖化血红蛋白高 (P<0 .0 1) ,高血压发生率高 (P<0 .0 1) ;且肾脏损害越重 ,死亡率越高。血 BUN水平和继发高血压与 DN的心肌损害直接相关。DN与糖尿病性心肌病的发生时间无并行关系。结论 糖尿病病程长、血糖控制不佳、高血压和肾功能损害是 DN伴心肌损害的危险因素 ,BUN水平和继发高血压与 DN的心肌损害直接相关。临床对 DN伴心肌损害者应早期加强血糖和血压的控制。
Objective To investigate the risk factors of diabetic nephropathy (DN) and myocardial damage. Methods To compare the clinical features of diabetic nephropathy with or without myocardial damage and the risk factors of myocardial damage. Results The course of DN with myocardial damage was longer (P <0.05), fasting blood glucose and glycosylated hemoglobin were higher (P <0.01), and the incidence of hypertension was higher (P <0.01) Heavy, the higher the mortality rate. Blood BUN levels and secondary hypertension are directly related to myocardial damage in DN. There is no parallel relationship between DN and the onset of diabetic cardiomyopathy. Conclusion Long course of diabetes, poor control of blood glucose, hypertension and renal dysfunction are risk factors of DN with myocardial damage. BUN level and secondary hypertension are directly related to myocardial damage of DN. Clinical DN with myocardial damage should be early to strengthen the control of blood glucose and blood pressure.