糖尿病患者和患有陈旧性心肌梗死的非糖尿病患者的心血管风险研究

【目的】探讨糖尿病患者与非糖尿病的陈旧性心肌梗塞（myocardia linfarction，MI）患者的心血管风险。【方法】对比97例糖尿病患者和65例陈旧性心肌梗死的非糖尿病患者的心血管风险.【结果】糖尿病组心血管性死亡的风险比为1．78％（95％CI，1．72～1．83），非糖尿病的陈旧性MI组风险比为1．81％（95％CI，1．73～2．01），两组风险比无差异（P〉0．05）。两组全因病死率相似，其结果分别是1．33％（95％CI，1．30—1．35）和1．31％（95％CI，1．25～1．34）（P〉0．05）。【结论】心血管风险在30岁以上的糖尿病患者和非糖尿病的陈旧性MI患者中是相似的。

The cardiovascular risk in diabetes patients and remote myocardial infarction without diabetics patients

Objective] To explore the cardiovascular risk in diabetes patients and remote myocardial infarction without di-abetics patients. Methods] A total of 97 cases of diabetes patients and 65 cases of remote myocardial infarction without diabetics patients were compared for the cardiovascular risk. Results] Cox proportional-hazard ratios for cardiovascular death were 1.78 (95% confidence interval CI], 1.72 to1.83) in patians with diabetes mellitus without a remofe my-ocardial infarction and 1.81 (95% CI, 1.73 to 2.01) in nondiabetic patians with a remote myocardial infarction , Haz-ard ratio were no difference tetween the two groups. (P>0.05).All-cause mortality in the two groups were similar, re-suits were 1.33% (95%CI, 1.30 to 1.35) and 1.31% (95%CI, 1.25 to 1.34) (P>0.05). Conclusions] In pa-tients ≥30 years of age who received glucose-lowering therapy have similar cardiovascular risk with those of nondiabetics having a history of a remote myocardial infarction.