田绍巍　李新　袁柏欣　陈浩　宋建斌

[摘要] 目的 研究2型糖尿病合并心脑血管病的临床内科观察及治疗方法。方法 该次研究選择2018年1月—2019年1月期间来该院进行治疗的36例2型糖尿病患者合并心脑血管病患者为研究组，选择同期来该院进行治疗的36例单纯2型糖尿病患者作为对比组。给予不同的治疗方法，比对两组患者合并心脑血管疾病的诱因情况以及治疗效果。结果 2型糖尿病合并心脑血管病的诱因主要是吸烟、嗜荤食、低血糖、嗜甜食;经治疗，两组患者的治疗有效率之间的差异无统计学意义（P>0.05）。结论 2型糖尿病患者如果吸烟、嗜荤食、低血糖、嗜甜食容易诱发心脑血管疾病，治疗时要注意对危险因素进行预防，以避免患者的病情发展。

[关键词] 2型糖尿病;心脑血管疾病;临床内科

[中图分类号] R59          [文献标识码] A          [文章编号] 1672-4062（2020）02（a）-0042-02

Clinical Observation and Treatment of Type 2 Diabetes with Cardiovascular and Cerebrovascular Diseases

TIAN Shao-wei， LI Xin， YUAN Bai-xin， CHEN Hao， SONG Jian-bin

Cerebrovascular Hospital of Daqing Oilfield， Daqing， Heilongjiang Province， 163316 China

[Abstract] Objective To study the clinical observation and treatment of type 2 diabetes with cardio-cerebrovascular disease. Methods In this study， 36 patients with type 2 diabetes and cardiovascular and cerebrovascular disease who came to the hospital for treatment from January 2018 to January 2019 were selected as the study group. Patients with type 2 diabetes served as a control group. Different treatment methods were given to compare the inducement and treatment effect of combined cardiovascular and cerebrovascular diseases in the two groups of patients. Results The main causes of type 2 diabetes combined with cardiovascular and cerebrovascular diseases were smoking， cravings， hypoglycemia， and sweets. After treatment， the difference between the two groups' treatment effectiveness was not statistically significant（P>0.05）. Conclusion Patients with type 2 diabetes are likely to cause cardiovascular and cerebrovascular diseases if they smoke， eat fast， have low blood glucose， and eat sweets. Attention should be paid to the prevention of risk factors to prevent the development of the patient's condition.

[Key words] Type 2 diabetes; Cardiovascular and cerebrovascular diseases; Clinical medicine

在临床上，糖尿病属于最为常见的慢性疾病，属于内分泌系统的老年疾病，在患者发病之后，如果没有及时对血糖进行控制，则有可能合并发生眼部病变、肾脏病变等并发症，严重影响了老年人的生活质量，严重的情况下甚至对患者的生命都造成威胁，因此需要及时进行治疗[1]。2型糖尿病在糖尿病中占比较大的比例，而心脑血管疾病是2型糖尿病最主要的并发症之一，严重的情况下甚至会造成患者死亡。因此，该次研究选择在2018年1月—2019年1月期间来该院治疗的72例患者作为研究对象，研究其诱发心脑血管疾病因素以及治疗方法，报道如下。