亚临床期糖尿病性心脏病及相关因素的初探

目的探讨亚临床期糖尿病性心脏病相关因素，以采取有效的防治对策。方法（１）对２８８例无高血压、心脏病临床表现，并经有关检查基本除外冠心病及其它心脏病的糖尿病患者进行无创性心功能检查。（２）对亚临床期糖尿病性心脏病的相关因素进行单因素和多因素分析。结果（１）３３．６８％的糖尿病病人存在亚临床期糖尿病性心脏病变所导致的心功能异常。（２）年龄、病程、ＢＭＩ、代谢控制状况、微血管并发症与亚临床期糖尿病性心脏病的发生密切相关。结论年龄大、病程长、ＢＭＩ高、代谢控制不良及糖尿病其它微血管并发症是亚临床期糖尿病性心脏病的危险因素，对以上某些因素进行有效的控制，将可能预防和延缓糖尿病性心脏病的发生。

A preliminary study on the factors related to early subclinical diabetic cardiopathy

Objective To study the factors related to early subclinical diabetic cardiopathy (ESDC). Methods (1)The left ventricular function was determined by Doppler echocardiography in 288 patients with diabetes mellitus and without clinical hypertension and coronary heart disease. (2)The relationship between ESDC and various risk factors were investigated with proportional hazard regression analysis. Results (1)97 of 288 diabetes (33.68%) had ESDC. (2)Among the factors analyzed, age, BMI, duration of the disease, poor metabolic control and microvascular complications were strongly correlated with ESDC. Conclusion Aging, higher BMI, longer duration, poor metabolic control and microvascular complications may be the risk factors of ESDC. To keep these factors under control may prevent or delay the onset of diabetic cardiopathy.