摘要
目的:探讨高血压对于加重2型糖尿病合并缺血性心脏病预后的影响。方法:将70例2型糖尿病合并缺血性心脏病患者按血压水平的高低分为高血压组及正常血压组,分别对血脂,空腹血糖,血清胰岛素,胰岛素敏感指数,纤维蛋白原,尿微量蛋白水平,颈总动脉内-中膜厚度进行比较分析。结果:2型糖尿病合并缺血性心脏病高血压组脂蛋白、纤维蛋白原、胰岛素抵抗指数、颈总动脉内膜中层厚度、尿微量蛋白出现率均显著高于无高血压组(P<0.05,P<0.01)。结论:高血压能够促进尿微量蛋白的出现,对缺血性心脏病的预后不良起着重要的作用。
Objective ： To explore the effect of high blood pressure in aggravating the prognosis of type 2 diabetic with ischemie heart disease. Methord： 70 cases with type 2 diabet patients with ischemic heart disease were divided into 2 groups,the high blood pressure group and normal blood pressure group, by blood pressure levers, serum lipids , fasting blood glucose, fasting insulin,fi- brinogen,intima--media thickness of arteria carotis communis were compared and analysed. Results： High blood pressure group tended to more serious risk factors than normal blood pressure group. The serious risk factors included ： higher insulin sensitivity index,higher lipoprotein,higher fibrinogen,more thickness of the intima--media of arteria carotis communis, and the higher fiequency of the microalbuminuria appearance, They were different statistic meaning between two groups（P〈0.05,P〈0.01）. Conclusion： High blood pressure could promote the appearance frequency of the microalbuminuria ,and make a great effective to the prognosis mala of the type 2 diabetic with ischemic heart disease.
出处
《中国伤残医学》
2008年第6期33-35,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
高血压
2型糖尿病
缺血性心脏病
High blood pressure
Type 2 diabetes
Ischemie heart diseas
