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冠心病合并T2DM患者外周血糖化血红蛋白、同型半胱氨酸的检测价值探析 被引量:5

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摘要 目的探究冠心病合并2型糖尿病(T2DM)患者外周血糖化血红蛋白(HbA1c)和同型半胱氨酸(HCY)预测心血管事件发生的临床价值。方法对140例冠心病合并T2DM患者临床资料进行回顾性分析,根据治疗后2周内心血管事件发生情况分为不良组(n=35)与良好组(n=105)。比较两组患者HbA1c、HCY和空腹血糖(FBG)差异,以受试者工作特征(ROC)曲线描述上述指标应用于冠心病合并T2DM患者预后的预测效能。结果不良组血清HbA1c、HCY和FBG水平均明显高于良好组(均P<0.05)。血清HbA1c、HCY和FBG预测冠心病合并T2DM患者心血管事件的截断值分别为8.60%、21.98mmol/L、7.84mmol/L。结论血清HbA1c、HCY和FBG与冠心病合并T2DM患者心血管事件关系密切,可加强检测以便于临床心血管事件防治。
作者 马健
出处 《心血管病防治知识(学术版)》 2020年第20期12-14,共3页 Prevention and Treatment of Cardiovascular Disease
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