毕业论文 糖尿病与心率失常的关系及机制探讨.docxVIP

毕业论文 糖尿病与心率失常的关系及机制探讨 毕业论文lowbar;糖尿病与心率失常的关系及机制探讨 糖尿病与心率失常的关系及机制探 年级 2021 专 业 临床医学 2021 年09月18日 辽宁医学院教务处制 目的初步探讨患者发生糖尿病与心律失常的内在联系及机制。 方法回顾分析239例2型糖尿病患者，根据常规心电图检测有无心律失常，分为糖尿病心律失常组66例，糖尿病无心律失常组173例，另外选取70例单纯心律失常患者作为心律失常无糖尿病组，对以上3组患者的相关临床资料、血糖、心电图检查结果进行分析比较。 结果糖尿病患者心律失常发生率为27．6％。以房性期前收缩最多见；2型糖尿病伴高血压、冠心病更易发生心律失常(P 结论2型糖尿病患者伴其他心血管疾病与单纯糖尿病无心律失常患者及单纯心血管疾病无糖尿病患者相比更易发生心律失常，可能与疾病病程长、胰岛素抵抗程度重、伴其他疾病而造成心脏血管、心肌、神经病变有关。糖尿病导致的神经损害, 使患者的痛觉阈值增加,易发生无痛性心肌梗死而导致诊断廷 关键词：糖尿病；心律失常；心血管疾病 Explore the relationship and mechanism of diabetes and heart disorders Abstract: ObjectiveInternal relations and explore the mechanism of diabetes in patients with arrhythmia.MethodsRetrospective analysis of 239 cases of type 2 diabetes, according to the presence or absence of ECG arrhythmia detection, divided into 66 cases of arrhythmia diabetes, diabetes without arrhythmia group 173 cases, while 70 cases selected purely as arrhythmia arrhythmia patients without diabetes group clinical data related to the above three groups of patients, blood glucose, ECG results were analyzed and compared. ResultsPatients with diabetes and arrhythmia was 27.6%. In atrial contraction most common; Type 2 diabetes and hypertension, coronary heart disease more arrhythmias (P atrial arrhythmias, junctional arrhythmias, conduction block, ventricular arrhythmias were significantly higher, the difference was statistically significant (P ConclusionOther patients with type 2 diabetes, cardiovascular disease and diabetes alone without arrhythmia patients and non-diabetic patients with cardiovascular disease alone are more likely to arrhythmia compared may be associated with longer duration of disease, insulin resistance weight, with other diseases caused by cardiovascular, cardiomyopathy, neuropathy. Keywords:Diabetes; arrhythmia; cardiovascular disease 1 前言 .................................................................. 4 2 本论 ............................