【摘要】 目的探索2型糖尿病大血管病变与心电图异常之间的关联。方法收集2015年7月—2016年6月启东市人民医院就诊并同时行大血管超声和心电图检查的786例2型糖尿病患者资料,计算大血管病变及心电图异常患病率,采用四格表和列联表χ~2检验评估大血管病变与心电图异常之间的关联。结果共纳入2型糖尿病患者786例,男性406例,女性380例。其中大血管斑块者共438例,患病率为55.73%;心电图异常者258例,患病率为32.82%。大血管毛糙组及斑块组的心电图异常率均高于大血管正常组,心电图异常率高,差异有统计学意义(P<0.05)。按大血管病变分层后,各组心电图异常率的男女差异无统计学意义(P>0.05)。结论 2型糖尿病患者颈部及下肢血管病变与心电图异常之间存在正向关联,据此可采取针对性的2型糖尿病大血管并发症联合防控措施。更多还原

【Abstract】 Objective This paper tries to explore the association between macro-vascular disease and abnormal electrocardiogram in type 2 diabetic patients. Methods The data of 786 cases of 2 diabetes mellitus who were admitted to Qidong People’s Hospital between July 2015 and June 2016 were retrospectively analyzed. The prevalence of macro-vascular disease and electrocardiogram abnormalities were calculated. The contingency table chi square test was used to assess the association between macro-vascular disease and electrocardiographic abnormalities. Results A total of 786 type 2 diabetic patients were enrolled, including 406 males and 380 females. Among them, 438 patients showed vessel plaque with prevalence of 55.73%; while, 258 people presented abnormal ECG with prevalence of 32.82%. The abnormal proportion of electrocardiogram in vessel roughness group and plaque group was higher than that in normal group,and the difference was statistically significant(P<0.05). There was no statistically significant difference between male and female on abnormal proportion of electrocardiogram after stratification by macro-vascular disease status(P>0.05).Conclusion Positive correlation exists between the vascular changes of the neck and lower extremities and ECG abnormalities in patients with type 2 diabetes mellitus, targeted prevention strategy should be taken to control macro-vascular complications of type 2 diabetes mellitus.更多还原