医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
22期
7-8
,共2页
老年%心血管病%脑血管病%糖代谢
老年%心血管病%腦血管病%糖代謝
노년%심혈관병%뇌혈관병%당대사
elder%cardiovascular disease%cerebrovascular disease%glucose metabolism
目的：对我院老年病房住院心脑血管疾病患者进行血糖筛查，并进行临床研究。方法选取老年病房2011年11月到2012年10月所有纳入心脑血管病诊断标准的住院患者共269例，收集临床资料。其中，既往确诊糖尿病患者118例，经空腹血糖（F P G）确诊糖尿病5例，未确诊糖尿病患者行餐后2小时血糖（2HPG）检查，以判断糖代谢状态。结果老年心脑血管疾病患者中糖尿病检出率为51.30%，糖调节受损检出率为22.30%，总的糖代谢异常检出率为73.60%。若不进行餐后2小时血糖检测，仅依靠FPG检测，将有75%的新发糖尿病漏诊，66.67%的新发糖调节受损漏诊。通过多项分类Logistic回归分析发现餐后2小时血糖与空腹血糖密切相关。结论老年心脑血管疾病患者绝大多数合并糖代谢异常，通过餐后2小时血糖检查能够发现这种现象。餐后2小时血糖应该作为老年心脑血管疾病患者的常规检查项目，对于空腹血糖较高的患者更应如此。
目的：對我院老年病房住院心腦血管疾病患者進行血糖篩查，併進行臨床研究。方法選取老年病房2011年11月到2012年10月所有納入心腦血管病診斷標準的住院患者共269例，收集臨床資料。其中，既往確診糖尿病患者118例，經空腹血糖（F P G）確診糖尿病5例，未確診糖尿病患者行餐後2小時血糖（2HPG）檢查，以判斷糖代謝狀態。結果老年心腦血管疾病患者中糖尿病檢齣率為51.30%，糖調節受損檢齣率為22.30%，總的糖代謝異常檢齣率為73.60%。若不進行餐後2小時血糖檢測，僅依靠FPG檢測，將有75%的新髮糖尿病漏診，66.67%的新髮糖調節受損漏診。通過多項分類Logistic迴歸分析髮現餐後2小時血糖與空腹血糖密切相關。結論老年心腦血管疾病患者絕大多數閤併糖代謝異常，通過餐後2小時血糖檢查能夠髮現這種現象。餐後2小時血糖應該作為老年心腦血管疾病患者的常規檢查項目，對于空腹血糖較高的患者更應如此。
목적：대아원노년병방주원심뇌혈관질병환자진행혈당사사，병진행림상연구。방법선취노년병방2011년11월도2012년10월소유납입심뇌혈관병진단표준적주원환자공269례，수집림상자료。기중，기왕학진당뇨병환자118례，경공복혈당（F P G）학진당뇨병5례，미학진당뇨병환자행찬후2소시혈당（2HPG）검사，이판단당대사상태。결과노년심뇌혈관질병환자중당뇨병검출솔위51.30%，당조절수손검출솔위22.30%，총적당대사이상검출솔위73.60%。약불진행찬후2소시혈당검측，부의고FPG검측，장유75%적신발당뇨병루진，66.67%적신발당조절수손루진。통과다항분류Logistic회귀분석발현찬후2소시혈당여공복혈당밀절상관。결론노년심뇌혈관질병환자절대다수합병당대사이상，통과찬후2소시혈당검사능구발현저충현상。찬후2소시혈당응해작위노년심뇌혈관질병환자적상규검사항목，대우공복혈당교고적환자경응여차。
Objective To screen the glucose metabolism status and do clinical study in elder cardio-cerebral-vascular diseases patients. Methods Al inpatients with cardio-cerebral-vascular diseases in cadre ward of our hospital were consecutively recruited from Nov 1,2011 to Oct 31.2012.a total of 269 patients with cardio-cerebral-vascular diseases were included in the study. The clinical information was compiled. Among al the patients,118 ones had diabetes melitus (DM) history. 5 ones were diagnosed DM through fasting plasma glucose (FPG). The patients undiagnosed DM would perform 2-hr plasma glucose (2hPG) test to characterize the glucose metabolism status. Results The prevalences of patients with DM and impaired glucose regulation (IGR) were 51.30% and 22.30% in inpatients with cardio-cerebral-vascular diseases, respectively. The total prevalence of abnormal glucose metabolism was 73.60%.Without the use of 2-hr plasma glucose test, 66.67% newly diagnosed IGR and 75% newly diagnosed DM would remain undiagnosed by FPG detection alone. The 2hpg and FPG are interrelated. Conclusion The frequency of disturbed glucose metabolism is considerably high in elder cardio-cerebral-vascular diseases patients, especialy in patients with high fasting plasma glucose.
