中国当代医药2024，Vol.31Issue(18)：25-28,4.
老年2型糖尿病合并冠心病患者心脏不良事件的危险因素分析
Analysis of risk factors of adverse cardiac events in elderly patients with type 2 diabetes mellitus complicated with coronary heart disease
摘要
Abstract
Objective To explore the risk and risk factors of adverse cardiac events in elderly patients with type 2 diabetes and coronary heart disease.Methods A total of 182 elderly patients with type 2 diabetes complicated with coronary heart disease admitted to Shangrao People's Hospital from January 2019 to December 2022 were selected by simple random sam-pling as the study objects.They were divided into occurrence group(28 cases)and un-occurred group(154 cases)according to the occurrence of adverse cardiac events.After symptomatic treatment,the patients were followed up for 90 days after dis-charge to record the risk of adverse cardiac events,and the general clinical data,laboratory indicators,and ultrasonic elec-trocardiogram(ECG)indicators of the patients were collected and compared in the two groups.The multiple logistic regres-sion analysis was used to identify risk factors for adverse cardiac events.Results After 90 days of follow-up,28 of 182 pa-tients with type 2 diabetes combined with coronary heart disease had adverse cardiac events,and the incidence rate was 15.38％,there were significant differences(P＜0.05)in the incidence of left main coronary artery disease,glycated hemoglobin(HbA1c),language acquisition device(LAD),left ventricular ejection fraction(LVEF),and New York Heart As-sociation(NYHA)cardiac function grading among different groups of adverse cardiac events.The results of multiple logistic factor analysis showed that the left main trunk lesion(β=2.321,OR=10.186,95％CI:2.464-42.100),HbA1c(β=2.482,OR=11.968,95％CI:2.436-58.763),LAD(β=3.183,OR=24.119,95％CI:6.989-83.239),cardiac function classification(β=1.287,OR=3.622,95％CI:1.775-7.392),type C lesions(β=3.254,OR=25.894,95％CI:7.285-92.303)were the risk factors for adverse cardiac events in patients with type 2 diabetes and coronary heart disease.Conclusion Left main artery disease,HbA1c,LAD,LVEF,cardiac function classification,and type C disease are the risk factors for adverse cardiac events in patients with type 2 diabetes combined with coronary heart disease.关键词
2型糖尿病/冠心病/心脏不良事件/危险因素Key words
Type 2 diabetes/Coronary heart disease/Adverse cardiac events/Risk factors分类
医药卫生引用本文复制引用
余鸿博,廖玲,汪小丽..老年2型糖尿病合并冠心病患者心脏不良事件的危险因素分析[J].中国当代医药,2024,31(18):25-28,4.基金项目
江西省卫生健康委科技计划课题(202312277). （202312277）
