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目的通过回顾性调查,分析单中心糖尿病并发心力衰竭患者治疗现状。方法检索阜外心血管病医院2007年12月至2008年2月间住院治疗的心脏病患者中同时有糖尿病和心力衰竭的病例,对基础资料,心力衰竭治疗情况,糖尿病治疗情况进行统计分析。结果 (1)糖尿病并发心力衰竭最多见于冠心病患者,其血管病变严重,接受冠状动脉旁路移植术患者比例明显高于单纯PCI患者。(2)糖尿病并发心力衰竭患者的心衰治疗仍有待进一步按指南规范。(3)糖尿病并发心力衰竭患者的降糖药物治疗仍是未来研究的方向。结论作为临床常见的危重症疾病,按照循证指南去规范治疗是临床的重要课题。
Objective To retrospectively investigate the treatment status of patients with single center diabetes mellitus complicated with heart failure. Methods The cases of diabetes and heart failure in hospitalized patients with heart disease from December 2007 to February 2008 in Fu Wai Hospital were searched, and the basic data, the treatment of heart failure and the treatment of diabetes were statistically analyzed. Results (1) Diabetes complicated with heart failure was found mostly in patients with coronary heart disease, and its vascular disease was severe. The proportion of patients undergoing coronary artery bypass grafting was significantly higher than that of pure PCI patients. (2) Heart failure treatment in patients with diabetes complicated with heart failure still needs to be further regulated according to the guidelines. (3) Diabetic patients with congestive heart failure treatment of hypoglycemic drugs is still the future direction of the study. Conclusion As a common critical illness in clinical practice, it is an important clinical issue to standardize treatment according to evidence-based guidelines.