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血糖代谢异常在冠心病患者中相当普遍,表现为空腹血糖、餐后血糖和糖化血红蛋白的异常[1]。针对既往糖尿病或新确诊糖尿病患者为期一年的一项随访调查表明,与普通人群比较,糖尿病患者有更高的心血管事件发生率或死亡风险[2]。同样,合并有糖尿病的冠心病患者较单纯的冠心病患者病变更为严重,动脉粥样硬化的相关指标改变更为明显。糖尿病与冠心病有共同的致病基础[3]。笔者在前期研究中发现,即使是血糖处于正常参考范围,同期入院心内科的患者,确诊为冠心病的
Abnormal glucose metabolism is quite common in patients with coronary heart disease, manifested as abnormalities of fasting blood glucose, postprandial blood glucose and glycosylated hemoglobin [1]. A one-year follow-up survey of past diabetics or newly diagnosed diabetics showed that diabetics had a higher risk of cardiovascular events or death compared with the general population [2]. Similarly, patients with coronary heart disease complicated with diabetes more severe coronary heart disease patients, atherosclerosis related indicators change more pronounced. Diabetes and coronary heart disease have a common pathogenic basis [3]. The author found in previous studies, even if the blood glucose in the normal reference range, the same period admitted to hospital cardiology, diagnosed with coronary heart disease