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目的分析血清心肌肌钙蛋白(cTnT)在临床诊断2型糖尿病(T2DM)是否合并心肌损伤中的应用价值。方法选取2010年5月~2013年5月接收的80例T2DM患者(实验组),分为实验A组(52例未合并心肌损伤患者)与实验B组(28例合并心肌损伤的患者);同时,随机选取40例非T2DM与心肌损伤受检者作对照(对照组),对三组患者均进行cTnT及血糖水平检测,并分别对相关指标作对比。结果实验A组与实验B组相比在cTnT水平上相对要低,与对照组相比,两组cTnT水平均明显更高(P<0.05);在2hPBG与FBG两项血糖指标上,实验组与对照组相比均更高(P<0.05),且实验组内对比无显著差别(P>0.05)。结论 cTnT是临床诊断T2DM是否合并心肌损伤的特异性指标之一,具有较高的应用价值,值得推广。
Objective To analyze the value of serum cardiac troponin (cTnT) in the clinical diagnosis of type 2 diabetes mellitus (T2DM) complicated with myocardial injury. Methods Eighty T2DM patients (experimental group) received from May 2010 to May 2013 were divided into experimental group A (52 patients without myocardial injury) and experimental group B (28 patients with myocardial injury). At the same time, 40 non-T2DM and myocardial injury subjects were randomly selected as the control group (control group), cTnT and blood glucose levels were detected in all three groups, and the relevant indicators were compared. Results The level of cTnT in experimental group A was significantly lower than that in experimental group B, and the levels of cTnT in both groups were significantly higher than those in control group (P <0.05) (P <0.05), and there was no significant difference in the experimental group (P> 0.05). Conclusions cTnT is one of the specific indexes of clinical diagnosis of T2DM complicated with myocardial injury. It has high value of application and is worth popularizing.