[糖尿病对血脂异常患者心血管风险的影响]。

Gregorio Peña-Rodríguez, Ana G Gallardo-Hernández, Cindy G Llerena-García, Martha A Maldonado-Burgos, Eloísa Escobedo-Naurisa
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摘要

目的:确定糖尿病对血脂异常患者心血管风险的影响:确定糖尿病对血脂异常患者心血管风险的影响:观察、横断面比较研究,测定 100 名血脂异常患者 10 年后的心血管风险,其中 50 人为非糖尿病患者,50 人为糖尿病患者:两组患者在年龄、血压数据、平均体重指数、高密度脂蛋白和低密度脂蛋白水平等方面的特征相似。据观察,糖尿病组的风险几乎是血脂异常组的两倍,分别为 13.7 岁和 7.9 岁(P = 0.014),糖尿病患者的计算心脏年龄也更高,分别为 80 岁和 66 岁(P = 0.003)。即使是糖尿病患者,实际年龄与心脏年龄之间的差异也较大,糖尿病患者为24岁,而非糖尿病患者为15岁(p = 0.000):结论:糖尿病和血脂异常会使患者的心血管风险增加一倍。在所研究的人群中,几乎没有人能够控制代谢,这大大增加了早期并发症的发生,加重了医疗系统和患者家庭的经济负担,因此有必要重新考虑治疗策略,改善代谢控制,从而改善患者的长期预后。
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[Impact of diabetes on cardiovascular risk in patients with dyslipidemia].

Objective: To determine the impact of diabetes on cardiovascular risk in patients with dyslipidemia.

Method: Observational, cross-sectional and comparative study in which cardiovascular risk was determined at 10 years in 100 patients with dyslipidemia, of these, 50 non-diabetic patients and 50 diabetic patients.

Results: Both groups had similar characteristics in terms of age, blood pressure figures, average body mass index, and HDL and LDL levels. It was observed that the diabetic group has almost double the risk compared to the dyslipidemia group, 13.7 vs. 7.9 (p = 0.014), and the calculated heart age is also higher in patients with diabetes, 80 vs. 66 years (p = 0.003). Even in patients with diabetes there is a greater difference between the real age and the age of the heart, 24 years vs. 15 years of patients without diabetes (p = 0.000).

Conclusion: Having diabetes and dyslipidemia doubles the cardiovascular risk of patients. Little metabolic control was found in the population studied, which significantly increases complications at an early age and the economic burden on the health system and the families of patients, so it is necessary to rethink treatment strategies to improve metabolic control and with it the prognosis for the patient in the long term.

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