冠心病糖代谢异常者的临床分析

Prevalence of abnormal glucose metabolism in patients with coronary artery disease:A clinical analysis

  • 摘要: 目的 了解冠心病患者糖代谢异常的情况。方法 分析2009年1-9月,我科诊断冠心病的住院患者315例,除住院前已诊断为糖尿病者外,其余均接受口服葡萄糖耐量试验(OGTT)了解糖代谢情况;糖尿病患者接受空腹、餐后2h血糖检测及全血糖化血红蛋白检测。结果 冠心病合并糖代谢异常比例为84.8%,糖尿病患病率50.5%,IFG或IGT患病率34.3%。结论 冠心病人中大部分合并糖代谢异常,进行OGTT试验有利于早期发现冠心病合并糖代谢异常,以进行早期干预。

     

    Abstract: Objective To investigate the prevalence of abnormal glucose metabolism(AGM)in patients with coronary artery disease(CAD). Methods Oral glucose tolerance test(OGTT)was performed for 315 patients with CAD but for those with known diabetes mellitus(DM)admitted to our department in June 2009-September 2009.Postprandial 2h blood glucose and glycohemoglobin levels in DM patients were measured. Results The prevalence of AGM,DM,IFG or GT in CAD patients was 84.8%,50.5%,and 34.3%,respectively. Conclusion The majority of patients with CAD have AGM.OGTT contributes to the early detection and intervention of CAD and AGM.

     

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