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糖尿病患者冠状动脉成形术后糖化血红蛋白与心血管事件的关系:一项横断面研究。

The relationship between HbA1c and cardiovascular events in diabetic patients with coronary angioplasty: A cross-sectional study.

作者信息

Adel Seyed Mohammad Hassan, Seyedian Masoud, Nourizadeh Mehdi

机构信息

School of Medicine, Ahvaz Jondishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

J Family Med Prim Care. 2022 Feb;11(2):772-774. doi: 10.4103/jfmpc.jfmpc_1206_21. Epub 2022 Feb 16.

Abstract

INTRODUCTION

Re-establishment of coronary artery blood flow in diabetic patients has always been a controversial issue in the treatment of cardiovascular diseases. Due to the importance of this issue and the increase in mortality due to heart disease, the present study was performed to determine the relationship between HbA1C and cardiovascular events in diabetic patients with coronary angioplasty referred to Imam Khomeini Hospital in Ahvaz.

METHODS

This was a descriptive cross-sectional study in which 114 patients were enrolled in a census study that was followed for 3 to 6 months. Data was collected by a checklist and by the researcher using the patient's medical record. Then it was analyzed by SPSS 22 software and descriptive statistics.

RESULTS

There was no significant relationship between age, gender, family history of diabetes, family history of heart disease, duration of diabetes, stroke, myocardial infarction, and heart failure with HbA1c ( > 0.05). However, there was a significant relationship between the type of coronary angioplasty, hypertension, and heart block with HbA1c ( < 0.05).

CONCLUSION

According to the results of this study, there was a significant relationship between the type of coronary angioplasty, hypertension, and heart block with HbA1c; thus HbA1c should be better controlled in diabetic patients who decide to have angioplasty.

摘要

引言

在糖尿病患者中重建冠状动脉血流一直是心血管疾病治疗中的一个有争议的问题。鉴于此问题的重要性以及心脏病导致的死亡率上升,本研究旨在确定在阿瓦士伊玛目霍梅尼医院接受冠状动脉血管成形术的糖尿病患者中糖化血红蛋白(HbA1C)与心血管事件之间的关系。

方法

这是一项描述性横断面研究,114名患者纳入普查研究,随访3至6个月。数据通过清单并由研究人员使用患者病历收集。然后使用SPSS 22软件进行分析和描述性统计。

结果

年龄、性别、糖尿病家族史、心脏病家族史、糖尿病病程、中风、心肌梗死和心力衰竭与HbA1c之间无显著关系(P>0.05)。然而,冠状动脉血管成形术类型、高血压和心脏传导阻滞与HbA1c之间存在显著关系(P<0.05)。

结论

根据本研究结果,冠状动脉血管成形术类型、高血压和心脏传导阻滞与HbA1c之间存在显著关系;因此,决定进行血管成形术的糖尿病患者应更好地控制HbA1c。

相似文献

本文引用的文献

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Acute myocardial infarction in diabetic patients in the thrombolytic era.
Diabet Med. 1994 Mar;11(2):162-5. doi: 10.1111/j.1464-5491.1994.tb02013.x.

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