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2型糖尿病合并无症状冠心病的危险因素分析 被引量:19

Risk factors for type 2 diabetes mellitus complicated with asymptomatic coronary artery disease
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摘要 目的探讨T2DM合并无症状冠心病(CAD)的危险因素。方法选取328例既往无CAD病史,亦无胸闷、胸痛等CAD相关症状的T2DM患者为研究对象,根据冠状动脉CTA检查结果分为单纯T2DM组(T2DM)和合并无症状CAD组(ACAD)。结果 ACAD组年龄、糖尿病病程、吸烟、高血压病、入院前服用降压药及他汀类药物比例高于T2DM组(P<0.05或P<0.01)。Logistic回归分析显示,年龄、糖尿病病程增加、有高血压病及吸烟为T2DM合并ACAD的独立危险因素。结论T2DM合并ACAD的危险因素是年龄、糖尿病病程、高血压病和吸烟。 Objective To explore the risk factors for type 2 diabetes mellitus(T2DM)complicated with asymptomatic coronary artery disease(ACAD). Methods A total of 328 patients with T2DM were enrolled in this study.All the patients were without CAD history,chest tightness,chest pain or other symptoms related to CAD.All the patients were divided into two groups according to the results of coronary CTA examination:T2DM with asymptomatic CAD group and T2DM without CAD group.Results The age,diabetic duration,the proportions of smoking,hypertension history,and the proportion of statins and antihypertensive drugs before admission were all higher in T2DM with asymptomatic CAD group than in T2DM without CAD group(P〈0.05 or P〈0.01).Logistic regression analysis showed that age,diabetic duration,hypertension,and smoking were independent risk factors for T2DM with asymptomatic CAD. Conclusion Age,diabetic duration,hypertension,and smoking are independent risk factors for T2DM with asymptomatic CAD.
作者 曾玲 陆泽元 余颖 张华清 柳岚 庄雄杰 蒋凤秀 桑丹 ZENG Ling;LU Zeyuan;YU Ying(Department of Endocrinology, The Affiliated Futian People ' s Hospital of Guangdong Medical University, Shenzhen 518033, China)
出处 《中国糖尿病杂志》 CAS CSCD 北大核心 2018年第5期366-369,共4页 Chinese Journal of Diabetes
基金 深圳市科创委科技计划项目(JCYJ20140416094256882) 深圳市福田区卫生公益性科研项目(FTWS20160015)
关键词 糖尿病 2型 无症状冠心病 危险因素 Diabetes mellitus type 2 Asymptomatic coronary artery disease Risk factor
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