未确诊糖尿病心衰患者的9年生存率研究

Nine-year survival rate of undiagnosed diabetes in patients with heart failure

摘要:

目的：研究未诊断糖尿病心力衰竭（Heart failure，HF）患者的9年生存率。方法：本院心内科住院的首次出院诊断为急性HF的所有患者进行了一项回顾性队列观察研究。结果：100例中共有65例患者死亡，其中48例患者死于心血管疾病。Kaplan-Meier生存曲线说明临床糖尿病患者和无症状糖尿病患者全因死亡和心血管疾病死亡的风险较高。无症状糖尿病患者和临床糖尿病患者的全因死亡风险类似，比无糖尿病患者的全因死亡率明显更高。结论：HF患者入院时更应重视诊断血糖异常。

Abstract:

Objective：To study 9-year survival rate of undiagnosed diabetes patients with heart failure. Methods：All patients with first-time discharge diagnosis of acute heart failure in the cardiology department of our hospital received a retrospective cohort obser－vational study. Results:100 cases of the 65 patients died，48 patients of whom died of cardiovascular disease. Kaplan-Meier survival curves illustrated the clinical patients with diabetes and asymptomatic diabetic patients had higher all-cause and cardiovascular dis－ease mortality risk.Asymptomatic diabetic patients were similar with clinical patients with diabetes in all-cause mortality risk ，and significantly higher than those without diabetes. Conclusion:We should pay more attention to the diagnosis of abnormal blood glucose for the inpatients with heart failure at admission.