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患有/未患有糖尿病的受试者心血管危险因素的量化。

The quantification of cardiovascular risk factors in subjects with/without diabetes mellitus.

作者信息

Pănuş Camelia, Răducanu Corina Lichiardopol, Mota Maria

机构信息

Clinical County Emergency Hospital, Craiova, Romania.

出版信息

Rom J Intern Med. 2004;42(2):355-70.

Abstract

Data from the literature showed an increased cardiovascular risk in patients with type 2 DM comparatively to subjects without DM, sustaining that diabetes mellitus is a cardiovascular disorder. In this context, we aimed to study the prevalence of modifiable cardiovascular risk factors in patients with type 2 DM comparatively to a control group without DM. The results are alarming, despite the great efforts of the members of the caring team. Smoking and alcohol consumption exceeding 30g/day are more frequent habits in patients with diabetes comparatively to controls, especially in men. Hypertension was present in 70.17% of diabetic patients, comparatively to 40.47% in controls; though already diagnosed, in the majority of diabetic patients, the therapeutic goal was achieved in only 25.45% subjects at the time we performed the study. Obesity including abdominal obesity is present from the moment diabetes is diagnosed and it is maintained further, indifferent of the duration of diabetes. Lipid parameters are very increased. So, it is imperative to intensify the therapeutic medical education, regarding each risk factor.

摘要

文献数据显示,2型糖尿病患者的心血管风险相较于非糖尿病患者有所增加,这支持了糖尿病是一种心血管疾病的观点。在此背景下,我们旨在比较2型糖尿病患者与非糖尿病对照组中可改变的心血管危险因素的患病率。尽管护理团队成员付出了巨大努力,但结果仍令人担忧。与对照组相比,吸烟和每日酒精摄入量超过30克在糖尿病患者中更为常见,尤其是在男性中。70.17%的糖尿病患者患有高血压,而对照组为40.47%;尽管大多数糖尿病患者已被诊断出患有高血压,但在我们进行研究时,只有25.45%的患者达到了治疗目标。从糖尿病被诊断之时起,包括腹型肥胖在内的肥胖就已存在,并且在糖尿病病程中持续存在。血脂参数大幅升高。因此,针对每个危险因素加强治疗性医学教育势在必行。

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