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目的 :探讨糖尿病肾病 (DN)并心肌损害的危险因素。方法 :比较糖尿病肾病伴或不伴心肌损害的临床特征及其心肌损害的危险因素。结果 :DN伴心肌损害组病程长 (P <0 0 5 ) ,空腹血糖及糖化血红蛋白高(P <0 0 1) ,高血压发生率高 (P <0 0 1) ,且肾脏损害重 ,死亡率越高。DN与糖尿病性心肌病的发生时间无并行关系。结论 :糖尿病病程长、血糖控制不住、高血压和肾功损害是DN伴心肌损害的危险因素 ,临床对DN伴心肌损害者应早期加强血糖和血压的控制。
Objective: To investigate the risk factors of diabetic nephropathy (DN) and myocardial damage. Methods: To compare the clinical features of diabetic nephropathy with or without myocardial damage and the risk factors of myocardial damage. Results: The course of DN with myocardial damage was longer (P <0.05), fasting blood glucose and glycosylated hemoglobin (P <0.01), the incidence of hypertension was higher (P <0.01) The higher the rate. There is no parallel relationship between DN and the onset of diabetic cardiomyopathy. Conclusion: Long duration of diabetes, uncontrolled blood glucose, hypertension and renal impairment are the risk factors of DN with myocardial damage. Clinically, DN should be strengthened to control blood glucose and blood pressure in early stage with DN.