摘要：目的：探讨Ⅱ型糖尿病合并冠心病的危险因素。方法：将已确诊为2型糖尿病的216例患者，根据其是否合并冠心病分为A组102例和B组114例进行对照分析。2组均了解性别、年龄及病程，计算体重指数(BMI)，并测血压(SBp,DBp)、血糖(FBG,2hBG)、胰岛素(FINS)、糖化血红蛋白(GHb1C)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C、血尿酸(UA)和24h尿白蛋白(UAE)。结果：2组患者年龄、性别及BMI 、DBP、FBG、 TC、GHb1C比较，无显著差异性(P>0.05); 糖尿病病程、SBP 、FINS 、TG、LDL-c、UAE、尿酸(UA)、胰岛素抵抗指数(HOMA-IR)组明显高于B组(P<0.05)。结论：糖尿病病程、高血糖、高血脂、高血压及24h尿白蛋白量、血尿酸是糖尿病合并冠心病的危险因素，应严格控制血糖、血脂、血压等代谢紊乱，预防冠心病的发生。

    关键词：Ⅱ型糖尿病；冠心病(CHD)；危险因素

    Clinical Analysis of Dangerous Factors of type Ⅱ Diabetes Amalgamated Coronary Heart Disease

    CHEN Kai-dong

    (Shenzhen Longgang Buji People's Hospital,Guangdong Shenzhen 518112, China)

    Abstract: Objective: To study dangerous factors of type Ⅱ diabetes amalgamated coronary heart disease. Methods: 216 cases of type Ⅱ diabetes were divided into two groups(102 cases and 114 cases)by amalgamated coronary heart disease or not. Body weight index (BMI), Blood pressure (SBp,DBp), Blood sugar (FBG,2hBG), Insulin( FINS), GHb1c,UA, Total cholesterol(TC), HDL-C, LDL-C and UAE of all cases were detected. Result: There were no remarkable difference of age, sex, BMI, DBP, FBG, TC, GHb1c between the two groups (P>0.05); There were remarkable difference of course, SBP ,FINS ,TG, LDL-c, UAE, UA, HOMA-IR between the two groups (P<0.05). Conclusion: Course of disease, high blood sugar, high blood fat, hypertension, UAE and blood UA are dangerous factors of type Ⅱ diabetes amalgamated coronary heart disease. Blood sugar, blood fat and blood pressure should be controlled, so coronary heart disease can be prevented. ......