糖尿病并心电图缺血性ST-T改变相关因素分析

Analysis of related risks of ECG ischemic ST-T segment changes in patients with diabetes

目的探讨糖尿病人发生心电图缺血性ST-T改变的发生率及相关影响因素。方法对比分析糖尿病人在不同危险因素(高血压、高脂血症、病程5年上下、同时合并有高血压和高脂血症)的情况下,发生心电图缺血性ST-T改变的发生率。结果合并高血压时发生率为64.5%,合并高脂血症时发生率为56.3%,同时合并高血压和高脂血症时发生率为66.7%(且呈广泛ST-T改变),病程>5年的发生率为49.3%,均明显高于不伴高血压、高血脂及病程<5年者,均P<0.05。结论糖尿病合并高血压、高脂血症、同时有高血压和高脂血症及病程>5年的发生心肌缺血性ST-T改变的危险性明显增加。糖尿病如合并其他危险因素存在,应在控制血糖的同时尽早对其他危险因素进行干预。

Objective To investigate the incidence and its related risk factors of ECG is chemic ST - T segment changes in patients with diabetes. Methods The incidence of ECG ST - T segment changes in diabetics with different risk factors such as hypertension, hyperlipidemia and disease course more than 5 years were compared to those without the risk factors above. Results The incidence rates of ECG ST - T segment changes in diabetics with hypertension, hyperlipidemia and course more than 5 years were 64.5% ,56.3% and 49.3% ,respectively,which were significantly higher than those without the risk factors above,P 〈 0.05 for all. Conclusion The incidence rate of ECG ischemic ST - T segment change is increased significantly in diabetic patients with hypertension, hyperlipidemia or course more thanyears , so we should control diabetes overall in order to prevent cardiovascular diseases if other risk factors present.