糖尿病足合并冠心病的危险因素分析

Analysis of Risk Factors of Diabetic Foot with Coronary Heart Disease

目的:回顾性分析糖尿病足合并冠心病患者的危险因素。方法:2005年1月~2015年3月我院收治的糖尿病足(diabetic foot,DF)患者,根据DF患者是否合并冠状动脉硬化性心脏病(Coronary heart disease,CHD)分为DF合并CHD组(919例)和DF非CHD组(940例)。收集两组患者的基本临床资料。结果:年龄≥70岁,糖尿病性肾病,BMI≥25kg/m^2,DM病程年限≥10年,糖化血红蛋白水平≥8%,糖尿病性周围血管病变实验组明显高于对照组,差异有统计学意义(P<0.05)。结论:年龄≥70岁,BMI≥25kg/m^2,病程年限≥10年,糖尿病性肾病,糖尿病周围血管病是DF合并CHD的相关危险因素,临床上需要对糖尿病足合并有上述因素的患者进行早期筛查。

Objective：The risk factors of diabetic foot patients with coronary heart disease were analyzed retrospectively.Methods：From January 2005 to May 2015,DF were chosenfrom our hospital.According to whether the DF patients with CHD points or not,people envolved were divided into the following two groups：DF with CHD group（985） and DF without CHD group（915）,which were called the experimental group and control group.Results：Diabetes mellitus,diabetic nephropathy,BMI≥25kg/m^2,duration of DM ≥10 years,glycosylated hemoglobin level ≥8%,diabetic peripheral vascular disease group was significantly higher than the control group,the difference was statistically significant（P〈0.05）.Conclusion：Age ≥70 years old,BMI≥25kg / m^2,course of disease≥10 years,diabetic nephropathy and diabetic peripheral vascular disease are the risk factors of DF combined CHD.