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目的:对糖尿病合并冠心病患者的临床特点进行分析,探讨糖尿病合并冠心病的病因。方法:选择2011年4月～2012年4月进入我院治疗的糖尿病患者80例,把患者分为两组,一组40例是单纯糖尿病患者,另一组40例是糖尿病合并冠心病患者,对两组患者的临床特征、血脂和血糖水平进行检测结果对比。结果:比较单纯糖尿病组和糖尿病合并冠心病组发现,糖尿病合并冠心病患者血清低密度脂蛋白和血清甘油三酯水平升高相当明显,但是血清高密度脂蛋白水平下降也很明显。临床症状不明显,心律失常严重,糖尿病合并冠心病组心绞痛、高血压、无痛性心肌缺血、心力衰竭、猝死和无痛性心肌梗的死亡率明显高于单纯糖尿病组。结论:糖尿病合并冠心病患者病情复杂多变而且发病危急,要迅速及时把病情控制,防止病情进一步恶化,同时要纠正患者的心律失常、保护患者血糖、溶栓、心功能等治疗,降低病死率。
Objective: To analyze the clinical features of diabetic patients with coronary heart disease and to explore the etiology of diabetes mellitus complicated with coronary heart disease. Methods: Eighty diabetic patients admitted to our hospital from April 2011 to April 2012 were divided into two groups: one group of 40 patients with simple diabetes mellitus and the other group of 40 patients with diabetes mellitus complicated with coronary heart disease, The two groups of patients with clinical features, blood lipids and blood glucose levels were compared test results. Results: Compared with simple diabetes mellitus group and diabetes mellitus combined coronary heart disease group, the levels of serum low density lipoprotein and serum triglyceride in patients with diabetes mellitus complicated by coronary heart disease were quite obvious, but the level of serum high density lipoprotein decreased obviously. Clinical symptoms were not obvious, serious arrhythmia, diabetes mellitus coronary heart disease angina pectoris, hypertension, painless myocardial ischemia, heart failure, sudden death and painless myocardial infarction mortality was significantly higher than simple diabetic group. Conclusion: Patients with diabetes mellitus and complicated with coronary heart disease are complicated and changeable. Therefore, it is necessary to quickly control the disease and prevent further deterioration. At the same time, it is necessary to correct patients ’arrhythmia and protect patients’ blood sugar, thrombolysis and heart function and reduce mortality .