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糖尿病患者中合并动脉硬化的发病率很高,特别是在糖尿病患者中,因脑卒中、心肌梗塞而死亡所占的比例很高。如此看来糖尿病与动脉硬化(粥样硬化)之间的关系很密切。但是到底是与糖尿病代谢异常(胰岛素作用不足)本身直接有关;还是因糖尿病患者多见的肥胖、高酯血症、高血压造成的影响,目前还不清楚。FraminghamStudy却认为,糖尿病患者中缺血性心脏病的发病率高,与其说是与糖尿病代谢障碍本身有关,莫如说是肥胖、高酯血症、低HDL血症等诸因素有关。现从两、三个人们关注的方面,谈谈糖尿病中的动脉硬化这样一个广泛而又复杂的问题。
The incidence of arteriosclerosis complicated by diabetes is high, especially in diabetic patients, with a high proportion of deaths due to stroke and myocardial infarction. It seems that the relationship between diabetes and atherosclerosis (atherosclerosis) is very close. But in the end is not directly related to diabetes mellitus (insulin deficiency) itself is directly related to; or more common in patients with diabetes obesity, hyperlipidemia, hypertension caused by the impact is not yet clear. FraminghamStudy believes that the high incidence of ischemic heart disease in diabetic patients, not so much their own diabetes related metabolic disorders, such as obesity, hyperlipidemia, hypo-HDL and other factors. Now, from the perspectives of two or three people, we talk about the broad and complex issue of atherosclerosis in diabetes.