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|本期目录/Table of Contents|

糖尿病心肌病临床特点分析(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2003年第1期
页码:
40-42
栏目:
临床研究
出版日期:
2003-01-01

文章信息/Info

Title:
An analysis of clinical characteristic about diabetic cardiomyopath
作者:
张春虹12臧伟进1臧益民3于晓江1
西安交通大学:1.医学院心血管生理药理研究室,陕西 西安 710061,2.第二医院内分泌科,陕西 西安 710004;3.第四军医大学生理研究室,陕西 西安710032
Author(s):
ZHANG Chun-hong12ZANG Wei-jin1ZANG Yi-min3YU Xiao-jiang1
1.Department of Cardiovascular Physiopharmacology, Xi'an Jiao Tong University, Xi'an Shaanxi710061, 2.Department of Endocrine, Second Hospital, Xi'an Jiao Tong University, Xi'an,Shaanxi710004; 3.Department of Physiology,Fouth Military Medical University,
关键词:
糖尿病心肌病脂代谢超声心动描记术
Keywords:
diabetic cardiomyopathy lipometablism ultrasonic cardiograph
分类号:
R542.2
DOI:
-
文献标识码:
A
摘要:
目的:分析糖尿病心肌病临床表现,为其诊治提供依据。方法:回顾性分析253例相关病例的脂代谢、糖代谢及其超声心动图指标。结果:①糖尿病并发冠心病组与糖尿病心肌病组的TC,TG值无显著性差异,但糖尿病患者较非糖尿病患者的TC,TG值均偏高;②糖尿病心肌病组较糖尿病并发冠心病组的HDL值偏低,但无统计学意义;③糖尿病并发冠心病组的LDL值(4.83±2.91mmol/L)较糖尿病心肌病组的LDL值(1.36±1.74mmol/L)明显偏高,差异有显著性(P<0.01);④糖尿病心肌病组左室舒张功能较糖尿病并发冠心病组明显减低(P<0.05),较其他组也均减低,女性患者较男性患者更为明显。结论:糖尿病病程、体重指数、LDL及超声心动图中LPWd,IVST,EF值等与糖尿病心肌病临床表现关系密切。
Abstract:
AIM: To analyse the clinical characteristic about diabetic cardiomyopathy and provide scientific basis for diagnosing and treating this disease. METHODS: The index about lipometablism and saccharometablism, the index of ultrasonic cardiogram in 253 interrelated patients treated in this hospital were retrospectively analyzed. RESULTS: ①There is not notable divergence between the data of TC, TG in group of diabetic coronary disease and group of diabetic cardiomyopathy. But the data of TC,TG in diabetic patients were higher than the data in undiabetes (P<0.05). ②The data of HDL in group of diabetic cardiomyopathy is lower than the data in group of diabetic coronary disease, but the result has not statistical significance. ③The data of LDL in group of diabetic coronary disease (4.83±2.91mmol/L) is higher than it in group of diabetic cardiomyopathy (1.36±1.74mmol/L). The result has statistical significance (P<0.01). ④The diastolic function about left ventricle in group of diabetic cardiomyopathy is lower than it in group of dianbetic coronary disease (P<0.05), and also lower than the others, the data about female is more lower than it about male. CONCLUSION: These data has relation to the clinical characteristic of diabetic cardiomyopathy which is the disease course, BMI, LDL and LPWd, IVST EF about UCG.

参考文献/References

[1] Aronson D, Rayfield EJ, Chesebro JH. Mechanisms determining course and outcome of diabetic patients who have had acute myocardial infarction [J] . Ann Intern Med, 1997, 126(4):296-306.

[2] Rossi E. Cardiovascular disease in diabetes and operative risk [J] . Rays, 1997, 22(4):595-602.

[3] Hardin NJ. The myocardial and vascular pathology of diabetic cardiomyopathy [J] . Coron Artery Dis, 1996, 7(2):99-108.

[4] Schannwell CM, Schoebel FC, Heggen S, et al. Early decrease in diastolic function in young typeⅠdiabetic patients as an initial manifestation of diabetic cardiomyopathy [J] . Z Kardiol, 1999, 88(5):338-346.

[5] Di Bello V, Glampietro O, Matteucci E, et al. Ultrasonic tissue characterization analysis in type 1 diabetes:a very early index of diabetic cardiomyopathy? [J] . G Ital Cardiol, 1998, 28(10):1128-1137.

[6] Lind L, Berne C, Andren B, et al. Relationship between diastolic hypertension and myocardial morphology and function in elderly males with diabetes mellitus [J] . Diabetologia, 1996, 39(12):1603-1606.

备注/Memo

备注/Memo:
收稿日期:2002-07-03.
更新日期/Last Update: 2003-01-01