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目的分析研究导致老年2型糖尿病合并心脑血管病变的各种危险因素。方法选择2010年12月~2012年4月我院收治的老年2型糖尿病患者143例作为临床观察对象。根据是否合并心脑血管病变分为观察组(合并心脑血管病变,70例)和对照组(73例)。利用统计学方法对两组患者的临床治疗进行分析。结果两组病患在年龄、病程、收缩压(SBP)以及吸烟史方面的差异比较具有统计学意义(P<0.05);餐后2小时血糖(2hPG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC)与血尿酸(UA)的水平比较差异也存在显著性(P<0.05)。结论老年2型糖尿病合并心脑血管病变患者的危险因素主要有年龄、病程、血压、血糖以及血脂等。
Objective To analyze and study various risk factors of type 2 diabetes mellitus complicated with cardiovascular and cerebrovascular diseases in the elderly. Methods A total of 143 elderly patients with type 2 diabetes treated in our hospital from December 2010 to April 2012 were selected as clinical observation subjects. According to whether the combined cardiovascular and cerebrovascular diseases were divided into observation group (with cardiovascular and cerebrovascular diseases, 70 cases) and control group (73 cases). The clinical treatment of two groups of patients was analyzed using statistical methods. Results There were significant differences in age, disease duration, systolic blood pressure (SBP) and smoking history between the two groups (P <0.05). After 2 hours of postprandial blood glucose (2hPG), high density lipoprotein cholesterol ), Low density lipoprotein cholesterol (LDL-C), total cholesterol (TC) and serum uric acid (UA) were also significantly different (P <0.05). Conclusion The main risk factors of type 2 diabetes mellitus patients with cardiovascular and cerebrovascular diseases are age, course of disease, blood pressure, blood glucose and blood lipids.