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已往,糖尿病患者的死亡原因是糖尿病性昏迷和感染。但是随着糖尿病治疗的进步,因心血管合并症而死亡者正在增加。调查1969年～1979年10年间美国的糖尿病患者的死因,发现因心疾患死亡的例数上升至54.5%。另据大阪成人病中心的统计(1960～1984年),日本糖尿病患者中,因心疾患死亡的占19.5%,可见糖尿病患者因心疾患的死亡率有增加倾向,因此对糖尿病患者的缺血性心疾患 IHD 的预防和早期诊断已成为重要课题。糖尿病患者因植物神经障碍,致使认知痛觉发生障碍,因此冠状动脉硬化症可潜在地进行。若这些患者发生无症状心肌梗塞并延迟早期治疗,则预后不良。为此有必要进一步研究糖尿病患者出现心肌梗塞前冠状动脉的缺血性变化。
In the past, the causes of death in diabetic patients are diabetic coma and infections. But as the treatment of diabetes progresses, those who die from cardiovascular complications are on the rise. Investigating the causes of diabetes in the United States between 1969 and 1979, the number of deaths from heart disease was found to have risen to 54.5%. According to statistics from the Osaka Adult Disease Center (1960-1984), 19.5% of Japanese patients with diabetes died of heart disease. This shows that diabetic patients have an increased tendency to die of heart disease. Therefore, patients with diabetes have ischemic Prevention and early diagnosis of heart disease IHD has become an important issue. Patients with diabetes due to autonomic disorders, resulting in cognitive pain disorders, so that coronary atherosclerosis may be carried out potentially. If these patients develop asymptomatic myocardial infarction and delay early treatment, the prognosis is poor. For this reason, it is necessary to further study the ischemic changes of coronary artery before myocardial infarction in diabetic patients.