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[对新诊断出的II型糖尿病患者使用心脏药物、抗高血压药物、β受体阻滞剂、冠状动脉治疗药物和利尿剂]

[Administration of cardiac agents, antihypertensive agents, beta receptor blockers, coronary therapeutic agents and diuretics to patients with newly detected type II diabetes].

作者信息

Schneider H

出版信息

Z Gesamte Inn Med. 1983 May 15;38(10):273-7.

PMID:6137115
Abstract

In 210 newly detected untreated diabetics of type IIA or B from 4 districts of the county of Neubrandenburg who were admitted to hospital in 1982 their behaviour in taking medicaments was analysed. Cardiac remedies strictly speaking and in the wider sense were classified into the drug groups cardiac remedies (glycosides), antihypertensive agents, beta-receptor blockers, other coronary therapeutic agents and diuretics. At the same time the prevalence of the cardiovascular risk signs overweight (75.7%), hypertension (69.1%), hypertriglyceridaemia (54.8%), hypercholesterolaemia (43.3%), hyperuricaemia (21.0%) and inhalation of cigarette smoke (greater than or equal to 5 cigarettes a day: 12.9%) was established. The proportion of obese persons diminished with growing age, also the percentage of smokers was in the same proportion. In the inverse ratio to this the proportion of diabetics with hyperuricaemia increased according to age. 62.9% of the newly detected diabetics were treated with cardiac glycosides and 49.1% with antihypertensive agents. Only every 4th to 5th patient did not receive a medicament from the drug groups investigated. With the exception of the cardiac remedies in all other groups of substances the proportion of patients treated increased with the enlarging number of cardiovascular risk signs.

摘要

对1982年在新勃兰登堡县4个区新确诊的210例未经治疗的IIA型或B型糖尿病患者进行了药物服用行为分析,这些患者均已入院治疗。严格意义上以及广义上的心脏药物被归类为心脏药物(糖苷类)、抗高血压药、β受体阻滞剂、其他冠状动脉治疗药物和利尿剂等药物组。同时确定了心血管风险体征超重(75.7%)、高血压(69.1%)、高甘油三酯血症(54.8%)、高胆固醇血症(43.3%)、高尿酸血症(21.0%)和吸烟(每天吸≥5支烟:12.9%)的患病率。肥胖者的比例随着年龄增长而降低,吸烟者的比例也呈相同比例。与此相反,高尿酸血症糖尿病患者的比例随年龄增加。62.9%的新确诊糖尿病患者接受了强心苷治疗,49.1%接受了抗高血压药治疗。在所调查的药物组中,只有每4至5名患者未接受药物治疗。除心脏药物外,在所有其他物质组中,接受治疗的患者比例随着心血管风险体征数量的增加而增加。

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