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頁籤選單縮合
題 名 | Cardiovascular Mortality in Diabetic Patients=糖尿病病人的心臟血管疾病死亡 |
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作 者 | 曾慶孝; | 書刊名 | Acta Cardiologica Sinica |
卷 期 | 15:1 1999.01[民88.01] |
頁 次 | 頁1-8 |
分類號 | 415.668 |
關鍵詞 | 心臟血管疾病; 糖尿病; 糖尿病併發症; 死亡; 心肌梗塞; 危險因子; Cardiovascular disease; Diabetes mellitus; Diabetic complications; Mortality; Myocardial infarction; Risk factors; |
語 文 | 英文(English) |
中文摘要 | 糖尿病是臺灣地區的第五大死因,它也是許多其它國家的主要死因。在胰島素被發現後,糖尿病病人的死因中急性併發症急遽下降,代之而起的是心臟血管疾病的死亡。目前糖尿病疾人的死亡原因中約有 75 %可歸因於心臟血管疾病。糖尿病病人比無糖尿病者有2-4 倍高的心臟血管疾病死亡,且這些死亡的增加是不受高膽固醇血症、抽菸、及高血壓等傳統動脈粥狀硬化危險因子影響的。由不同種族在屍體解剖或流行病學的研究都可以發現糖尿病病人的心臟血管疾病死亡在持續增加中。此增加之原因可能與血糖的良好控制無法有效預防糖尿病大血管併發症、慢性腎衰竭之存活預後改善、及糖尿病病人在發生心肌梗塞後之死亡率不見下降等因素有關。儘管糖尿病的死亡率相當高,利用死亡診斷書所做的研究往往低估了糖尿病病人的死亡。為了有效預防糖尿病的心臟血管疾病死亡,針對其它傳統危險因子的積極介入及早期偵測和治療是相當重要的。 |
英文摘要 | Diabetes mellitus is the fifth leading cause of death in Taiwan. It is also a major cause of mortality in many other countries. With the discovery of insulin in 1921, mortality from acute complications in diabetic patients decreased abruptly, while cardiovascular mortality increased and replaced acute complications as the most prevalent cause of death. Nowadays, cardiovascular disease accounts for about 75% of total deaths in diabetic patients. Diabetes mellitus confers a 2-4 times higher risk of cardiovascular mortality in patients than in nondiabetic subjects, independent of trraditional cardiovascular risk factors such as hypercholesterolemia, smoking and hypertension. Increasing levels of cardiovascular mortality among diabetic patients can be observed in different ethnic groups from either autopsy or epidemiologic studies. The increase of cardiovascular mortality in diabetic patients can result from ineffectiveness of glycemic control in the prevention of macrovascular complications, increasing survival from end-stage renal disease, and the fact that case fatality does not decrease in diabetic patients after onset of myocardial infarction, etc. In spite of the high mortality in diabetic patients, the public health impact of diabetes-related mortality is always underestimated through studies using death certificates. It is strongly advocated that in order to prevent cardiovascular mortality in diabetic patients, active intervention for other traditional cardiovascular risk factors with early detection and treatment is important. |
本系統中英文摘要資訊取自各篇刊載內容。