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目的 探讨老年人不同空腹血糖水平与心血管危险因素的关系。方法 选择积水潭医院 6 0岁以上的职工 378例 ,检测体重指数、血压、空腹血糖、血脂、血尿酸及纤维蛋白原 ,依据美国糖尿病学会空腹血糖诊断标准分为 3组 :糖尿病组、空腹血糖异常组和正常空腹血糖组 ,对 3组人群进行对比分析。结果 糖尿病组 4 0例 ,空腹血糖异常组 5 4例 ,空腹血糖正常组 2 84例。糖尿病组体重指数、舒张压、总胆固醇、甘油三酯、纤维蛋白原明显高于空腹血糖正常组 (P <0 0 5 ) ,高密度脂蛋白胆固醇显著低于空腹血糖正常组 (P <0 0 5 ) ;空腹血糖异常组体重指数明显高于空腹血糖正常组(P <0 0 5 ) ;糖尿病组舒张压、总胆固醇、甘油三酯、纤维蛋白原明显高于空腹血糖异常组 (P <0 0 5 ) ,高密度脂蛋白胆固醇明显低于空腹血糖异常组 (P <0 0 5 )。结论 依据美国糖尿病学会标准诊断的老年糖尿病病前状态 (空腹血糖异常阶段 )有低估心血管危险因素的倾向 ,需要寻找一种既经济又有效的筛查方法确定糖尿病病前状态 ,发现并控制心血管危险因素 ,降低心血管疾病的患病率。
Objective To explore the relationship between different fasting blood glucose levels and cardiovascular risk factors in the elderly. Methods 378 cases of workers over 60 years old in Jishuitan Hospital were selected. Body mass index, blood pressure, fasting blood glucose, blood lipids, serum uric acid and fibrinogen were measured and divided into three groups according to the American Diabetes Association criteria of fasting blood glucose: diabetes, Group and normal fasting blood glucose group, comparative analysis of three groups of people. Results 40 cases of diabetic group, 54 cases of abnormal fasting blood glucose group, fasting blood glucose normal group 2 84 cases. The body mass index, diastolic blood pressure, total cholesterol, triglyceride and fibrinogen in diabetic group were significantly higher than those in normal group (P <0 05) and high density lipoprotein cholesterol was significantly lower than that in normal group (P <0 0) (P <0.05); diastolic blood pressure, total cholesterol, triglyceride and fibrinogen in diabetic patients were significantly higher than those in patients with impaired fasting glucose (P <0 5) 0 5), HDL cholesterol was significantly lower than the group of impaired fasting glucose (P <0 05). Conclusions There is a tendency to underestimate cardiovascular risk factors according to the American Diabetes Association criteria of pre-diabetic status (fasting blood glucose abnormality phase). It is necessary to find an economical and effective screening method to determine the pre-diabetes status, to find and control the heart Vascular risk factors reduce the prevalence of cardiovascular disease.