| 吸烟对冠心病合并糖尿病患者糖化血红蛋白的影响 |
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| 引用本文： | 刘浩,余金明,陈芳,潘长玉,李觉,胡大一.吸烟对冠心病合并糖尿病患者糖化血红蛋白的影响[J].中华糖尿病杂志,2008,16(5):283-285. |
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| 作者姓名： | 刘浩 余金明 陈芳 潘长玉 李觉 胡大一 |
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| 作者单位： | [1]同济大学医学院心肺血管中心,上海200092 [2]解放军总医院,北京100853 |
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| 摘 要： | 目的探讨吸烟对冠心病合并糖尿病患者HbA1c水平的影响。方法从北京、上海等7个城市共52家医院心内科2005年6月至9月间冠心病合并糖尿病住院患者中收集有效病例1858例。结果吸烟组HbA1c均值较非吸烟组高（P〈0．01）；HbA1c≥6．5％的比例也高于非吸烟组（P〈0．01）。结论吸烟是HbA1c〉6．5％的冠心病合并糖尿病患者的独立危险因素。应采取积极有效的干预措施降低冠心病合并糖尿病患者的吸烟率。
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| 关 键 词： | 冠心病 糖尿病 吸烟 糖化血红蛋白 |
| 修稿时间： | 2007年11月20 |
Smoking is associated with an increase of HbA1c values in patients with coronary heart disease and diabetes |
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| Institution: | LIU Hao, YU Jin-ming, PAN Chang-yu, et al(Center for Cardiovascular and Pulmonary Blood Vessel, Tongji University, Shanghai 200092, China) |
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| Abstract: | Objective To study association between smoking and glycemic control. Methods A total of 1858 coronary heart disease patients with diabetes were subjects for collecting data. Results Compared with non-smokers, smokers had higher mean HbAI c and higher proportion of HbA1 c ≥6.5 %. In logistic regression analyses, smoking was independently and positively associated with HbA1 c~ 6.5 （OR：I. 86, 95%CI： 1.66-2.20） ,and with an increased albuminuria （OR=1.33, 95%CI： 1.14-1.60）. Conclusions Smoking is associated with both poor controls of hyperglycemia and abnormal albuminuria, as an independent risk factor. |
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| Keywords: | Coronary heart disease Diabetes Smoking Hemoglobin A1c |
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