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目的了解在天津医科大学总医院心内科住院的冠心病患者糖调节异常的患病情况。方法自2005年6月1日至8月31日,天津医科大学总医院心内科连续入组符合冠心病诊断标准的住院患者67例。除此前已明确诊断糖尿病的冠心病患者外,其余均接受口服葡萄糖耐量试验(OGTT)检测,以了解糖调节状况。结果冠心病患者合并糖调节异常率高达88.1%,其中糖尿病的患病率达56.7%,糖调节受损的患病率达31.3%。如果不进行OGTT检测,42.5%合并糖调节异常的患者将不能被诊断出糖尿病,48.0%的糖调节受损患者将被漏诊,85.0%的患者将不能被发现存在糖调节异常状态。结论天津医科大学总医院心内科冠心病患者大多合并糖调节异常,需进行OGTT检测对其糖调节状态做出及时、准确的诊断。
Objective To understand the prevalence of abnormal glucose regulation in patients with coronary heart disease hospitalized in Department of Cardiology, Tianjin Medical University General Hospital. Methods From June 1, 2005 to August 31, 2005, 67 consecutive hospitalized patients who met the diagnostic criteria of coronary heart disease were enrolled in Department of Cardiology of Tianjin Medical University General Hospital. Except for the previously diagnosed patients with coronary heart disease with diabetes mellitus, the rest received oral glucose tolerance test (OGTT) test to understand the regulation of glucose. Results The rate of abnormal glucose regulation in patients with coronary heart disease was as high as 88.1%. The prevalence rate of diabetes was 56.7% and the rate of impaired glucose regulation was 31.3%. Without OGTT, 42.5% of patients with abnormal glucose regulation will not be diagnosed with diabetes, 48.0% will suffer misdiagnosis, and 85.0% will not be found to have abnormal glucose regulation. Conclusion Most patients with coronary heart disease in the Department of Cardiology of General Hospital of Tianjin Medical University have abnormal glucose regulation. OGTT is needed to make a timely and accurate diagnosis of the status of glucose regulation.