2型糖尿病合并冠心病患者预后不良的危险因素

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[中图分类号]R541.1;R587.1 [文献标志码]A［文章编号]2097-5716（2025）03-0353-05

DOI： 10.13308/j.issn.2097-5716.2025.03.008

[引用格式]，.2型糖尿病合并冠心病患者预后不良的危险因素[J].实用心电与临床诊疗，2025，34（3）：353-357.

Risk factors for poor outcomes in patients with type2 diabetes melitus complicating coronary heart disease OU Changyuan，LI Qusheng（Department of Cardiology， Changning People's Hospital，Hengyang Hunar 421500，China）

[Abstract]ObjectiveTo explore the risk factors for poor prognosis in patients with type2 diabetes melltus （T2DM）complicated by coronary heart disease （CHD）.MethodsA retrospective analysis was conducted on the clinical data of 117 patients with T2DM complicating CHD.The patients were divided into a poor prognosis group （67 cases）and a good prognosis group（5O cases） based on their clinical outcomes.Baseline data，number of diseased coronary arteries，laboratory test indicators and other data were collected，and compared between the two groups.Binary Logistic regresion analysis was used to identify the risk factors for poor prognosis.ResultsThe levels of glycated hemoglobin（HbAlc），the proportion of patients with multi-vessel coronary artery disease，as well as the prevalence of hypertension and hyperlipidemia wereallsignificantly higher in the poor prognosis group than those in the good prognosis group （all P<0.01 ）. Logistic regression analysis showed that HbA1c，multi-vessel disease，hypertension，and hyperlipidemia were independent risk factors for poor prognosis in patients with T2DM and CHD （all P<0.05 ）. Conclusion Actively controlling blood glucose，blood pressure and lipid levels ，as well as optimizing coronary artery revascularization strategies are of significant importance for improving the prognosis of patients with T2DM and CHD.

[Key words] type 2 diabetes mellitus； coronary heart disease； poor prognosis； risk factor

随着社会经济的发展和生活方式的改变，2型糖尿病和冠心病的发病率逐年上升，成为全球范围内严重威胁人类健康的重大慢性疾病[1]。（剩余7199字）