晋升网极力推荐疑难病例类晋升参考优秀论文 (26)

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1、老年糖调节受损患者合并心脑血管疾病的危险因素分析作者：鲁广肃作者单位：430064武汉科技大学附属医院干一科【摘要】目的探讨老年糖调节受损(IGR)患者心脑血管病变的特点及相关危险因素。方法通过回顾性分析，将114例老年IGR患者分为心脑血管病变组(病变组)61例和无血管病变组(无病变组)53例。病变组包括缺血性心脏病(IHD)患者35例、脑血管病变(CVD)患者26例。对2组患者的临床数据进行比较及回归分析。结果病变组的年龄、高血压患病率、病程、C反应蛋白水平比无病变组明显增高(P＜0.05)；各亚组与无病变组的比较也有相似的趋势。回归分析显示，年龄、高血压是老年IGR患者心脑血管病

2、变的独立危险因素，同时也是IHD和CVD的独立危险因素。另外高三酰甘油血症与心脑血管病变及IHD分别独立相关。结论对于老年IGR患者，除了年龄、高血压外，高三酰甘油血症是心脑血管病变的独立危险因子。【关键词】糖调节受损心血管疾病脑血管疾病糖尿病危险因素TheanalysisofriskfactorsforcardiovascularandcerebrovasculardiseasesinelderlypatientswithimpairedglucoseregulationLUGuangsu,XULi,JIFang,etal.DepartmentofFirstVIP,Affiliat

3、edHospitalofWuhanUniversityofScienceandTechnology,Hubei,Wuhan430064,China【Abstract】ObjectiveToinvestigatethecharacteristicfeaturesandrelatedriskfactorsofcardiovascularandcerebrovasculardiseases(CVD)inelderlypatientswithimpairedglucoseregulation(IGR).MethodsRetrospectivelyanalyzed114elderlypatien

4、tswithIGR,andthepatientsweredividedinto61caseswithcardiovascularorcerebrovasculardiseasesgroupand53caseswithoutdiseasesgroup.Thediseasesgroupincluded35caseswithischemicheartdisease(IHD),26caseswithCVD.Theclinicalinformationwerecomparedandlogisticregressionanalysiswasperformedintwogroups.ResultsI

5、tdemonstratedthattheindexeswerehigherindiseasegroupthancontrolgroup(P<0.05),includedage,hypertensionprevalence,courseofdisease,Creactiveprotein.Thesimilarresultsacquiredinsubgroups.ThelogisticregressionresultsshowedthattheageandhypertensionwereindependentriskfactorsforelderlypatientswithIGR,thes

6、ameforIHDandCVDrespectively.Furthermore,hypertriglyceridemiahadindependentrelationshipwithcardiovascularandcerebrovasculardiseases.ConclusionForelderlypatientswithIGR,age,hypertensionandhypertriglyceridemiawereindependentriskfactorsforcardiovascularandcerebrovasculardiseases.【Keywords】Impairedgl

7、ucoseregulation;Cardiovasculardiseases;Cerebrovasculardiseases;Diabetesmellitus;Riskfactors.在危害老年健康最严重的疾病中,患病率最高的是高血压、冠心病、脑卒中及糖尿病，其中糖尿病居首位，随着年龄的增长，糖尿病的发病率在逐年增长。许多研究表明，65岁以上的糖尿病患者和糖调节受损(impairedglucoseregulation，IGR)者，占糖尿病总人数