摘要
目的分析缺血性脑血管病合并糖尿病患者的临床诊治重点及危险因素。方法选取本院自2014年1月~2015年6月这一期间收治的50例2型糖尿病患者作为对照组,同时选自50例缺血性脑血管病合并2型糖尿病的患者作为观察组,对两组患者的临床观察结果进行分析。结果经过研究显示,两组吸烟人数比例为46%VS 16%;高敏反应C蛋白对比为（2.83 VS 1.05）、高血压发病率分别为（58.0%VS 34.0%）,两组患者的FPG、HDL-C、Hb ALC对比值分为别为（8.6±2.8）VS（7.0±1.9）mmol/L、（5.2±1.6）VS（4.2±1.2）mmol/L、（10.06±2.54）VS（9.1±2.8）mmol/L。以上各项指标对比均存在统计学意义（P〈0.05）,因此将其进行多因素回归分析,结果显示,缺血性脑血管病合并2型糖尿病与高敏C反应蛋白多因素回归分析结果为（OR=2.98,95%CI=1.18~7.76,P=0.035）,呈正相关,FPG经过多因素回归分析结果为（OR=0.810,95%CI=0.25~7.398,P=0.008）,呈正相关。结论高敏C反应蛋白以及FPG是缺血性脑血管病合并2型糖尿病的主要独立危险因素,因此需要从以上方面对其进行防治,使患者的生活质量得到提高。
Objective To explore the focus and risk factors of the clinical diagnosis and treatment of ischemic cerebrovascular disease combined with type 2 diabetes mellitus. Methods 50 patients with type 2 diabetes mellitus who were in our hospital form January 2014 to June 2015 were selected as control group, and 50 patients with ischemic cerebrovascular disease and type 2 diabetes mellitus who were in our hospital during the same period were selected as observation group. The clinical observation results of the two groups were compared. Results The comparison results showed that（observation group VS control group）, the proportions of smoking were 46% VS 16%, the high sensitive C-reactive protein levels were 2.83 VS 1.05, the incidences of hypertension were 58.0% VS 34.0%, and the FPG, HDL-C, Hb ALC were（8.6±2.8） mmol/L VS（7.0±1.9） mmol/L,（5.2±1.6） mmol/L VS（4.2±1.2）mmol/L,（10.06±2.54） mmol/L VS（9.1±2.8）mmol/L respectively. All indexes above were statistically significant（P 0.05）. The multi-factor regression analysis results between ischemic cerebral vascular disease combined with type 2 diabetes mellitus and high sensitive C-reactive protein were OR=2.98, 95%CI=1.18-7.76, P=0.035, which showed a positive correlation. The multi-factor regression analysis results between ischemic cerebral vascular disease combined with type 2 diabetes mellitus and FPG were OR=0.810, 95%CI=0.25-7.398, P=0.008, which showed a positive correlation. Conclusion High sensitive C-reactive protein and FPG are the main independent risk factors of ischemic cerebral vascular disease combined with type 2 diabetes mellitus, which should be prevented and treated to improve the patients＇ life quality.
出处
《中国医药科学》
2016年第4期142-144,共3页
China Medicine And Pharmacy
关键词
2型糖尿病
脑血管病
临床观察
危险因素
Type 2 diabetes mellitus
Cerebrovascular disease
Clinical observation
Risk factors
