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目的:探讨2型糖尿病患者的餐后高血糖状态与冠状动脉病变的关系。方法:2型糖尿病患者84例,经冠脉造影检查确诊为冠心病患者44例为冠心病组;40例确诊为未合并冠心病患者,为非冠心病组。同时测定空腹血糖、餐后2 h血糖及糖化血红蛋白水平。结果:空腹血糖水平两组间差异无统计学意义(P>0.05);冠心病组餐后血糖、糖化血红蛋白高于非冠心病组,差异有统计学意义(P<0.05)。结论:餐后血糖水平是冠心病患者冠脉病变的危险因素之一。
Objective: To investigate the relationship between postprandial hyperglycemia and coronary artery disease in type 2 diabetic patients. Methods: Totally 84 patients with type 2 diabetes mellitus were enrolled in this study. Coronary angiography was performed in 44 patients with CHD as coronary heart disease. Forty patients with non-CHD were identified as non-CHD patients. Fasting blood glucose, 2 h postprandial blood glucose and glycosylated hemoglobin were measured simultaneously. Results: There was no significant difference in fasting plasma glucose between the two groups (P> 0.05). The postprandial plasma glucose and HbA1c in CHD group were significantly higher than those in non-CHD group (P <0.05). Conclusion: Postprandial blood glucose level is one of the risk factors for coronary artery disease in patients with coronary heart disease.