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目的:探讨心内科医生的关注冠心病伴糖尿病患者血糖及其他冠心病危险因素综合控制中的作用。方法:连续入选符合本研究入选标准的206例冠心病伴糖尿病患者,以电话与门诊结合的方式进行随访,所有患者随访至2009-09-2010-01。对规律就诊心内科的患者,比较糖尿病关注组和非关注组血糖及其他危险因素控制状况及预后的差异。结果:156例患者完成随访,随访率75.7%,平均随访时间19个月。40.3%患者糖化血红蛋白控制未达标,69.9%LDL-C控制未达标。106例患者(67.9%)规律就诊心内科,其中57例(53.8%)纳入血糖关注组。血糖关注组患者糖化血红蛋白达标率及LDL-C达标率显著高于非关注组(78.9%∶33.3%P=0.000;45.6%∶23.1%P=0.027)。2组无事件生存率,差异无统计学意义。结论:伴糖尿病的冠心病患者血糖及其他危险因素控制状况尚不理想,心内科医生应关注冠心病伴糖尿病患者血糖及其他危险因素的综合控制。
Objective: To investigate the role of cardiologists in the comprehensive control of blood glucose and other risk factors of coronary heart disease in patients with coronary heart disease and diabetes mellitus. Methods: A total of 206 consecutive patients with coronary heart disease and diabetes mellitus eligible for inclusion in this study were enrolled in this study. All patients were followed up until 2009-09-2010-01. On regular attend cardiology patients, compare the difference of control status and prognosis of blood sugar and other risk factors in diabetes concern group and non-attention group. Results: 156 patients were followed up, with a follow-up rate of 75.7% and an average follow-up time of 19 months. Hypoglycemic control was not observed in 40.3% of patients, and control of 69.9% LDL-C was not achieved. One hundred and six patients (67.9%) were treated regularly for cardiology, of which 57 (53.8%) were included in the blood glucose group. Glycemic hemoglobin compliance rate and LDL-C compliance rate were significantly higher in patients with glycemic control than those in non-attending (78.9%: 33.3% P = 0.000; 45.6%: 23.1% P = 0.027). There was no significant difference between the two groups in event-free survival rate. Conclusion: The control of blood glucose and other risk factors in patients with coronary heart disease with diabetes is not yet satisfactory. Cardiologists should pay attention to the integrated control of blood glucose and other risk factors in patients with coronary heart disease and diabetes mellitus.