空腹血糖受损与冠状动脉粥样硬化性心脏病

Impaired fasting glucose and coronary atherosclerotic heart disease

背景：糖尿病常易导致患者出现冠状动脉粥样硬化性心脏病，而空腹血糖受损是否也会导致这种情况的发生，结论尚不明确。目的：分析空腹血糖受损与冠状动脉粥样硬化性心脏病的关系。方法：将2011年4月到2014年4月在辽宁电力中心医院接受治疗的150例冠状动脉粥样硬化性心脏病患者，按空腹血糖水平分为3组：A组（n=54），空腹血糖水平小于5．6mmol／L；B组（n=40），空腹血糖为5．6—7．0mmol／L；C组（n=56），空腹血糖水平≥7．0mmol／L。结果与结论：B组和C组患者年龄、体质量指数超标比例、高血压比例、冠状动脉粥样硬化性心脏病比例、三支病变比例均明显高于A组（P〈0．05），C组患者冠状动脉粥样硬化性心脏病比例明显高于B组（P〈0．05），B组患者血脂异常人数明显高于A组和C组（P〈0．05）。提示空腹血糖受损与冠状动脉粥样硬化性心脏病之间具有一定的关系，将血糖水平控制在5．6mmol／L以下可降低冠状动脉粥样硬化性心脏病的发生风险。

Background： Diabetes often lead patients to coronary atherosclerotic heart disease, and whether impaired fasting glucose also lead to the occurrence of such the situation, and the conclusion is not clear. Objective： Impaired fasting glucose and the relationship between coronary atherosclerosis sex heart disease were analyzed. Methods： From April 2011 to April 2014 treated in our hospital during the period of 150 cases of coronary atherosclerotic heart disease patients as the research object, and according to the patients with different levels of fasting plasma glucose is divided into three groups of related research. Group A （n=54）, levels of fasting blood glucose less than 5.6 mmol/L; group B （n=40）, levels of fasting blood glucose 5.6-7.0 mmol/L; C group （n=56）, levels of fasting blood glucose greater than or equal to 7.0 mmol/L. Results and Conclusion： The study and research of two groups of three groups of patients age, body mass index BMI exceeds bid, the number of hypertension were significantly higher than group A （P 〈 0.05）; The number of dyslipidemia in study group B was obviously higher than that of group A and group C （P 〈 0.05）; group B and C of patients with coronary heart disease （CHD） number, the number of three lesions were significantly higher than group A （P 〈 0.05）, the number of coronary heart disease also 3 group was obviously higher than that of the two groups （P 〈 0.05）. Impaired fasting glucose and coronary atherosclerotic heart disease have a certain relationship between the general tendency to control the blood glucose levels in patients with 5.6 rnmol/L of the following （：an decrease the occurrence of coronary heart disease.