冠心病合并糖代谢异常患者临床分析

Coronary disease merge sugar metabolism unusual patient clinical analysis

中国心脏调查研究发现,糖尿病是冠心病的重要伴发疾病,中周冠心病患者的糖代谢异常患病率约为80%,较西方人高;中国冠心病人群负荷后高虹糖的比例更高;冠心病患者单纯检测空腹血糖会漏诊75%糖尿病前期和糖尿病患者.高血糖与心血管疾病密切相关,2型糖尿病是冠心病的等危症已获共识.糖代谢异常患者往往不单是血糖升高.而是常伴随血脂代谢紊乱、血液理化性质改变,血管内皮功能障碍、全身炎症状等一系列代谢紊乱.循证医学研究显示,不仅要关注高血糖,更要＂超越高血糖＂,在严格长期控制血糖的同时积极降压、调脂和抗凝治疗,全面改善糖尿病并发症尤其是冠心病的危险因素,预防和延缓冠心病的发生和发展,达到有效防治心血管疾病,减少心血管事件发生率和病死率,从而改善冠心病的预后,提高生活质量.

The Chinese heart investigation and study discovery, diabetes are the coronary disease important partner have disease, the week coronary disease patient＇s sugar metabolism unusual prevalence rate is approximately 80%,compares the westerner to be high;After the Chinese coronary disease crowd load Gao Hongtang the proportion is higher;Coronary disease patient examines the empty stomach blood sugar to be able purely to leak examines 75 % prediabetes and the diabetic. The hyperglycemia and the cardiovascular disease close correlation,2 ＇diabetes were coronary disease and so on the dangers sickness have attained the mutual recognition. Not merely the sugar metabolism unusual patient often is the blood sugar ascension. But is often follows the blood fats metabolism disorder,the blood physics and chemistry nature change, the blood vessel bast function barrier, the whole body inflammation symptom and so on a series of metabolism disorder. Follows the card medical research demonstration,not only must pay attention to the hyperglycemia, wants ＂the surmounting hyperglycemia＂, while strict long-term control blood sugar positive voltage dropping resistor,adjusts the fat and the antifreeze treatment, improves diabetes complication in particular coronary disease comprehensively the dangerous factor,the prevention and the postponement coronary disease occurrence and the development,achieved effective preventing and controlling cardiovascular disease,reduces the cardiovaseular event formation rate and the case fatality rate,thus the improvement coronary disease prognosis,improves the quality of life.