亚临床期糖尿病_心脏病_危险因素(期刊论文)

亚临床期糖尿病性心脏病及相关因素的初探

http://www.100md.com 《中华内分泌代谢杂志》 1998年第6期

亚临床期糖尿病|心脏病|危险因素,关键词：

     赵 黄友镐毛红毕少芳杨顺实王红祥陈少华 430014 武汉市第二医院内分泌科(黄友镐、毛红、毕少芳、王红祥)，超声诊断科(杨顺实)；The American University(陈少华) 中华内分泌代谢杂志 1998 0 14 6

    关键词：亚临床期糖尿病；心脏病；危险因素期刊 zhnfmdxzz 0 论著 fur -->

【摘要】目的 探讨亚临床期糖尿病性心脏病相关因素，以采取有效的防治对策。方法 (1)对288例无高血压、心脏病临床表现，并经有关检查基本除外冠心病及其它心脏病的糖尿病患者进行无创性心功能检查。(2) 对亚临床期糖尿病性心脏病的相关因素进行单因素和多因素分析。结果 (1)33.68%的糖尿病病人存在亚临床期糖尿病性心脏病变所导致的心功能异常。(2)年龄、病程、BMI、代谢控制状况、微血管并发症与亚临床期糖尿病性心脏病的发生密切相关。结论年龄大、病程长、BMI高、代谢控制不良及糖尿病其它微血管并发症是亚临床期糖尿病性心脏病的危险因素，对以上某些因素进行有效的控制，将可能预防和延缓糖尿病性心脏病的发生。

A preliminarystudy on the factors related to early subclinical diabetic cardiopathy

Zhao Shi,Huang Yougao,Mao Hong,etal.Department of Endocrinology,Wu Han Second Hospital,Wuhan,430014

【Abstract】 Objective Tostudy the factors related to early subclinical diabetic cardiopathy (ESDC). Methods (1)Theleft ventricular function was determined by Doppler echocardiography in 288 patients withdiabetes mellitus and without clinical hypertension and coronary heart disease. (2)Therelationship between ESDC and various risk factors were investigated with proportionalhazard regression analysis. Results (1)97 of 288 diabetes (33.68%) had ESDC. (2)Among the factors analyzed, age, BMI, duration of the disease, poor metaboliccontrol and microvascular complications were strongly correlated with ESDC. Conclusion Aging,higher BMI, longer duration, poor metabolic control and microvascular complications may bethe risk factors of ESDC. To keep these factors under control may prevent or delay theonset of diabetic cardiopathy.

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