实用心电与临床诊疗2025，Vol.34Issue(3)：353-357,5.DOI:10.13308/j.issn.2097-5716.2025.03.008
2型糖尿病合并冠心病患者预后不良的危险因素
Risk factors for poor outcomes in patients with type 2 diabetes mellitus complicating coronary heart disease
欧昌元 1李衢胜1
作者信息
- 1. 421500 湖南衡阳,常宁市人民医院心血管内科
- 折叠
摘要
Abstract
Objective To explore the risk factors for poor prognosis in patients with type 2 diabetes mellitus(T2DM)complicated by coronary heart disease(CHD).Methods A retrospective analysis was conducted on the clinical data of 117 patients with T2DM complicating CHD.The patients were divided into a poor prognosis group(67 cases)and a good prognosis group(50 cases)based on their clinical outcomes.Baseline data,number of diseased coronary arteries,laboratory test indicators and other data were collected,and compared between the two groups.Binary Logistic regression analysis was used to identify the risk factors for poor prognosis.Results The levels of glycated hemoglobin(HbA1c),the proportion of patients with multi-vessel coronary artery disease,as well as the prevalence of hypertension and hyperlipidemia were all significantly higher in the poor prognosis group than those in the good prognosis group(all P＜0.01).Logistic regression analysis showed that HbA1c,multi-vessel disease,hypertension,and hyperlipidemia were independent risk factors for poor prognosis in patients with T2DM and CHD(all P＜0.05).Conclusion Actively controlling blood glucose,blood pressure and lipid levels,as well as optimizing coronary artery revascularization strategies are of significant importance for improving the prognosis of patients with T2DM and CHD.关键词
2型糖尿病/冠心病/预后不良/危险因素Key words
type 2 diabetes mellitus/coronary heart disease/poor prognosis/risk factor分类
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欧昌元,李衢胜..2型糖尿病合并冠心病患者预后不良的危险因素[J].实用心电与临床诊疗,2025,34(3):353-357,5.
