论文部分内容阅读
目的:探讨高血压对于加重2型糖尿病合并缺血性心脏病预后的影响。方法:将70例2型糖尿病合并缺血性心脏病患者按血压水平的高低分为高血压组及正常血压组,分别对血脂,空腹血糖,血清胰岛素,胰岛素敏感指数,纤维蛋白原,尿微量蛋白水平,颈总动脉内-中膜厚度进行比较分析。结果:2型糖尿病合并缺血性心脏病高血压组脂蛋白、纤维蛋白原、胰岛素抵抗指数、颈总动脉内膜中层厚度、尿微量蛋白出现率均显著高于无高血压组(P<0.05,P<0.01)。结论:高血压能够促进尿微量蛋白的出现,对缺血性心脏病的预后不良起着重要的作用。
Objective: To investigate the effect of hypertension on the prognosis of patients with type 2 diabetes mellitus complicated with ischemic heart disease. Methods: Seventy patients with type 2 diabetes mellitus complicated with ischemic heart disease were divided into hypertension group and normotensive group according to the level of blood pressure. The levels of serum lipids, fasting blood glucose, serum insulin, insulin sensitivity index, fibrinogen, Protein level, intima-media thickness of carotid artery for comparative analysis. Results: The levels of lipoprotein, fibrinogen, insulin resistance, carotid intima-media thickness and urinary microalbumin were significantly higher in type 2 diabetic patients with ischemic heart disease than those without hypertension (P <0.05 , P <0.01). Conclusion: Hypertension can promote the appearance of microalbuminuria and play an important role in the prognosis of ischemic heart disease.