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目的:了解反复性低血糖对2型糖尿病病人心功能的影响。方法:将50例反复性低血糖2型糖尿病患者设为观察组,将50例无低血糖2型糖尿病患者设为对照组,比较两组心血管疾病发生情况,心肌酶谱等指标。结果:1观察组左心室射血分数显著低于对照组,α羟丁酸脱氢酶升高程度显著高于对照组,组间差异具统计学意义(P<0.05);2观察组共出现心血管事件19例,占38.0%,对照组共出现心血管事件9例,占18%,组间差异具统计学意义(P<0.05)。结论:反复性低血糖会降低2型糖尿病病人的左心室射血分数,增加心血管疾病发病率。应关注反复性低血糖2型糖尿病患者的心功能,进行积极治疗。
Objective: To understand the effect of repeated hypoglycemia on cardiac function in type 2 diabetic patients. Methods: Fifty patients with recurrent hypoglycemic type 2 diabetes were enrolled in the observation group. Fifty patients without hypoglycemia and type 2 diabetes were enrolled as the control group. The occurrence of cardiovascular diseases and myocardial enzymes were compared between the two groups. Results: 1 The left ventricular ejection fraction in the observation group was significantly lower than that in the control group, and the elevated level of α-hydroxybutyrate dehydrogenase was significantly higher than that in the control group (P <0.05); 2 The observation group appeared Cardiovascular events in 19 cases, accounting for 38.0%, 9 cases of cardiovascular events in the control group, accounting for 18%, the difference between groups was statistically significant (P <0.05). Conclusions: Repeated hypoglycemia reduces left ventricular ejection fraction and increases the incidence of cardiovascular disease in patients with type 2 diabetes mellitus. Should pay attention to recurrent hypoglycemia in patients with type 2 diabetes heart function, active treatment.