老年糖尿病隐匿性心肌缺血患者的动态血糖分析  

Continuous glucose monitoring in patients of type 2 diabetic silent myocardial ischemia

作　　者：彭朝胜[1] 曹悦鞍[1] 杨璐[1] 夏菁[1] 张文洛[1] 

机构地区：[1]海军总医院特需医疗部,北京100048

出　　处：《现代医学》2012年第5期546-548,共3页Modern Medical Journal

摘　　要：目的:探讨老年2型糖尿病(T2DM)隐匿性心肌缺血(SMI)患者动态血糖波动的特点及临床意义。方法:85例老年受试者分为T2DM SMI组(35例)、单纯T2DM无SMI组(NSMI组,35例)和正常对照组(NC组,15例)3组,行72 h动态血糖监测,并对监测结果进行对比分析。结果:SMI组日内平均血糖波动幅度(MAGE)和血糖波动系数(BGFC)均明显高于NSMI组(P<0.05),夜间无症状低血糖发生率也明显升高(P<0.05)。结论:异常的血糖波动可能参与了老年T2DM患者SMI的发生与发展。Objective： To investigate the greater details about the blood glucose fluctuation in senile patients with type 2 diabetic silent myocardial ischemia.Methods： 85 patients were divided into three groups：type 2 diabetic silent myocardial ischemia（n=35）,type 2 diabetes（n=35） and healthy control（n=15）.The fluctuating feature of the 72 hours blood glucose in three groups were compared by continuous glucose monitoring systems（CGMS）.Results： In patients with silent myocardial ischemia,the mean amplitude glycemic excursions（MAGE）,blood glucose fluctuant coefficient（BGFC） and incidence of asymptomatic hypoglycemia were significantly higher compared with patients of type 2 diabetes（P0.05）.Conclusion： The blood glucose fluctuation may play an important role in the pathogenesis of type 2 diabetic silent myocardial ischemia.

关 键 词：2型糖尿病 隐匿性心肌缺血 血糖波动 老年人 

分 类 号：R587.1[医药卫生—内分泌]