摘要
目的:对糖化血红蛋白与择期非心脏手术患者心血管疾病的相关性进行分析探讨,为今后的临床诊治与预防工作提供可靠的参考依据。方法:抽取在2010年1月-2013年3月间本院收治的合并糖尿病择期非心脏手术患者218例,对其进行糖化血红蛋白水平检测,依照检测结果将其分成糖化血红蛋白<6.5%组和糖化血红蛋白≥6.5%组,而后对这两组患者展开术后24 h动态心电监护,对患者术前与术后心血管事件发生率进行对比分析。结果:糖化血红蛋白≥6.5%组心血管事件发生率较糖化血红蛋白<6.5%组显著升高(P<0.05);两组患者的空腹血糖、甘油三酯、总胆固醇以及高密度脂蛋白等生化指标的检测结果比较差异均有统计学意义(P<0.05)。结论:糖化血红蛋白与心血管事件的发生之间存在一定的相关性,特别是在合并糖尿病的择期非心脏手术患者,高糖化血红蛋白水平会增加心血管事件发生率,临床应对其给予关注。
Objective： To discuss and analysis the correlation analysis of glycated hemoglobin and choosing time cardiac surgery patients with cardiovascular disease, and provide reliable reference for clinical diagnosis and treatment prevention for future work.Method： 218 cases of patients with glyeated hemoglobin and choosing time cardiac surgery patients of out＇hospital from January 2010 to March 2013 were chosen , their glycated hemoglobin level were detected, according to the test results they were divided into glycated hemoglobin〈 6.5% group and glyeated hemoglobin ≥ 6.5 group, and then the two groups of patients were given postoperative 24-hour halter monitoring , and then they were given preoperative and postoperative incidence cardiovascular events analyzation.Result： Incidence of cardiovascular events of glycated hemoglobin ≥ 6.5 group was significantly greater than that of glycated hemoglobin〈 6.5% group （ P〈0.05 ） .The detection results of the two groups of patients in fasting blood sugar, triglyceride, total cholesterol and high density lipoprotein cholesterol were significant differences （P〈0.05） .Conclusion： There is a correlation between glycosylated hemoglobin and the occurrence of cardiovascular events, especially the patients with diabetes mellitus choosing time noncardiae surgery, high glyeosylated hemoglobin levels will increase the risk of cardiovascular events, the clinical response to its attention.
出处
《中国医学创新》
CAS
2013年第29期153-155,共3页
Medical Innovation of China
关键词
择期非心脏手术
糖尿病
糖化血红蛋白
心血管事件
并发症
Choosing time noncardiac surgery
Diabetes
Glycated hemoglobin
Cardiovascular events
Complications
