【摘要】 目的研究首诊糖尿病及糖耐最异常患者慢性血管并发症的发生情况。方法初诊糖尿病(DM)患者46例、糖耐量异常(IGT)患者97例,口服葡萄糖耐量试验(OGTT)正常者35例作为对照组,分别检测生化指标、颈动脉血管壁内-中膜厚度(IMT)及斑块情况。结果IGT组及DM组患者合并冠心病为52.8%、65.2%,脑血管病为20.6%、26.0%,颈动脉粥样硬化为50.5%、69.6%,与对照组相比差异有统计学意义(P<0.05,P<0.01)。结论初诊DM和IGT患者已存在各种血管并发症,单纯检测空腹血糖将漏诊大部分DM患者,必须加强DM高危人群的筛查,早期发现,及时诊治是预防其并发症的主要措施。更多还原

【Abstract】 Objective To investigate the chronic angio-complications of diabetes mellitus(DM)and impared glucosetolerance(IGT)patients were diagnosticated newly.Methods 46 patients with diabetes mellitus and 97 pa- tients of impared glucosetolerance were chosen in the study,and 35 patients were chosen as normal glucose tlerance group.Some biochemical criterion,carotid artery intima-media thickness and plaque condition were measure.Results The group of IGT contract coronary heart disease is 62.9 %,cetebrovascular disease is 20.6%,carotid artery atheromatosis is 50.5 %,the group of DM contract coronary heart disease is 65.2%,cerbrovascular disease is 26,1%,carotid artery atheromatosis is 69.6%,it have statistics significance compared with control group(P<0.05,P<0.01).Conclusion DM and IGT patients exist different Nods of angio complications,we will miss most of DM patients by inspect fasting plasma glucose simply,the throng were in danger of DM must be inspected general- ly,the main mtehod to prevent the coplication is making a diagnosis and giving treatment in time.更多还原