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目的通过75 g 口服葡萄糖耐量检查(OGTT)探索高血压冠心病患者合并 DM、IGT 的状况。方法 75 g 葡萄糖液(300 mL)受试者在3～5 min 内缓缓饮下,分别测定饮糖水前后0时、1/2 h、1 h、2 h、3h 血糖,按 DM 诊断标准判断。结果 101例高血压冠心病患者中 DM、IGT 的发生率达54.45%(55例);其它时相血糖调节异常达32.67%(33例);36例 IGT 中0时相血糖值<6.0 mmol/L达91.67%(33例)。结论OGTT 使我们能更早地发现高血压、冠心病患者合并 DM 及 IGT。
Objective To explore the status of DM and IGT in patients with hypertension and coronary heart disease by 75 g oral glucose tolerance test (OGTT). Methods Subjects in 75 g glucose solution (300 mL) drank moderately within 3 ~ 5 min. Blood glucose levels at 0, 1, 2, 3 h before and after drinking water were measured, respectively, according to the diagnostic criteria of DM . Results The prevalence rate of DM and IGT in 101 patients with coronary heart disease was 54.45% (55 cases), the abnormalities of other phases were 32.67% (33 cases), the blood glucose level of 0 cases in 6 cases of IGT was less than 6.0 mmol / L up to 91.67% (33 cases). Conclusions OGTT enabled us to detect hypertension earlier and coronary artery disease complicated with DM and IGT.