高血糖对心脏的危害，您真的了解吗？
<h2 style="font-weight: bold;white-space: normal;line-height: 1.6em;"><br/></h2><p><section data-support="96编辑器" data-style-id="32600"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-block;background-color: rgb(255, 0, 0);border-radius: 30px 0px;box-sizing: border-box;"><section style="padding: 3px 26px;letter-spacing: 2px;color: rgb(254, 254, 254);font-size: 16px;box-sizing: border-box;"><p><strong>您听过“隐性糖人”这个词吗？</strong></p></section></section></section></section><section data-mpa-template="t" mpa-from-tpl="t"><section mpa-from-tpl="t"><section mpa-from-tpl="t"><section mpa-from-tpl="t"><section data-support="96编辑器" data-style-id="31585"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="margin-left: auto;width: 2em;"><br/></section><section style="margin-top: -30px;margin-right: 10px;padding: 14px;background-color: rgb(255, 251, 251);border-radius: 0px 20px 0px 0px;box-sizing: border-box;"><section style="line-height: 1.75em;letter-spacing: 2px;font-size: 15px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p style="letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;"> 隐性糖人是指血糖升高了但没有被发现的这一类人。《中国成人糖尿病流行与控制现状》调查显示：中国18岁及以上成人糖尿病患病率达11.6%，糖尿病前期人群达到50.1%。试想，咱们中国现在有多少人隐性糖人在大街上大摇大摆的行走？</span></p><p style="letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;"> 而“欧洲心脏调查”及“中国心脏调查”发现冠心病患者多数有高血糖状态，远高于普通人群；糖尿病、冠心病已经成为威胁人类健康的两大首要疾病，冠心病在成人糖尿病患者中发病率为55%。</span></p><p style="letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;"> 糖尿病患者冠心病的发病率、病死率是无糖尿病者的2-4倍。而统计数据显示65%-80%的2型糖尿病患者死于心脏病。</span></p></section></section></section></section></section></section></section></section><section data-support="96编辑器" data-style-id="32600" style="white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-block;background-color: rgb(255, 0, 0);border-radius: 30px 0px;box-sizing: border-box;"><section style="padding: 3px 26px;letter-spacing: 2px;color: rgb(254, 254, 254);font-size: 16px;box-sizing: border-box;"><p><span style="letter-spacing: 0.5px;"><strong>那么，高血糖到底对心脏的危害有多深呢？</strong></span></p></section></section></section></section><section data-mpa-template="t" mpa-from-tpl="t"><section mpa-from-tpl="t"><section mpa-from-tpl="t"><section mpa-from-tpl="t"><section data-support="96编辑器" data-style-id="31585"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="margin-left: auto;width: 2em;"><br/></section><section style="margin-top: -30px;margin-right: 10px;padding: 14px;background-color: rgb(255, 251, 251);border-radius: 0px 20px 0px 0px;box-sizing: border-box;"><section style="line-height: 1.75em;letter-spacing: 2px;font-size: 15px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p style="letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;color: rgb(255, 76, 65);">1）</span><span style="font-size: 16px;">糖化血红蛋白每增加1%，心血管事件和全因病死率增长20%-30%。</span></p><p style="letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;color: rgb(255, 76, 65);">2）</span><span style="font-size: 16px;">很多人只关注空腹血糖，体检或者因疾病住院等查血糖时多数是查的空腹血糖，但空腹血糖正常并不代表血糖完全正常，很多人尤其是肥胖的人，在早期可能仅存在餐后血糖升高，而餐后血糖异常与心血管死亡风险关系密切，有研究显示治疗糖尿病，特别是控制餐后高血糖，可使患高血压的风险下降34%，减少49%的心血管事件。而著名的DCCT/EDIC研究也有基本类似的结果，研究显示加强血糖控制，可使糖尿病患者的心血管疾病减少42%。</span></p><p style="letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px; color: rgb(255, 76, 65);">3）</span><span style="font-size: 16px;">与非糖尿病患者相比，糖尿病合并冠心病的患者多有较严重的3支血管病变，更广泛的冠状动脉钙化，晚期治疗效果差，通常不是放一两个支架就能解决的问题，多数面临冠脉搭桥等大手术，同时由于糖尿病心肌病变等综合因素很多患者合并顽固性心力衰竭，故要早防早治。</span></p><p style="letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;color: rgb(255, 76, 65);">4）</span><span style="font-size: 16px;">糖友经常伴有高血压、血脂紊乱、高同型半胱氨酸等心脑血管疾病的重要危险因素，因此心脑血管损害更加严重。</span></p></section></section></section></section><section data-support="96编辑器" data-style-id="25845"><section><section data-support="96编辑器" data-style-id="32600" style="white-space: normal;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="display: inline-block;background-color: rgb(255, 0, 0);border-radius: 30px 0px;box-sizing: border-box;"><section style="padding: 3px 26px;letter-spacing: 2px;color: rgb(254, 254, 254);font-size: 16px;box-sizing: border-box;"><p><strong>如何改变这个结局呢？</strong></p></section></section></section></section></section></section></section></section></section></section><section data-mpa-template="t" mpa-from-tpl="t"><section mpa-from-tpl="t"><section mpa-from-tpl="t"><section mpa-from-tpl="t"><section data-support="96编辑器" data-style-id="31585"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="margin-left: auto;width: 2em;"><br/></section><section style="margin-top: -30px;margin-right: 10px;padding: 14px;background-color: rgb(255, 251, 251);border-radius: 0px 20px 0px 0px;box-sizing: border-box;"><section style="line-height: 1.75em;letter-spacing: 2px;font-size: 15px;transform: rotateZ(0deg);-webkit-transform: rotateZ(0deg);-moz-transform: rotateZ(0deg);-ms-transform: rotateZ(0deg);-o-transform: rotateZ(0deg);"><p style="letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;color: rgb(255, 76, 65);">1）重视血糖筛查，尤其是餐后血糖的测量。</span><span style="font-size: 16px;">对不明原因的冠脉病变患者因注意监测空腹血糖和糖化血红蛋白，必要时监测餐后血糖，对于体型肥胖的患者建议行糖耐量试验，早期筛查出“隐性糖人”。</span></p><p style="letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px;color: rgb(255, 76, 65);">2）加强评估。</span><span style="font-size: 16px;">2型糖尿病确诊时，1型糖尿病确诊后5年内对并发症的筛查时要重点关注心血管的评估，建议2型糖尿病至少每年评估心脑血管病变的风险因素，对于心脑血管疾病风险较高的患者尤其是有心绞痛或心电图有明显心肌缺血改变等可进一步通过冠脉CTA或冠脉造影等检查来评估心血管病变的情况，及时诊断，早期干预。</span></p><p style="letter-spacing: 1px;line-height: 2.5em;"><span style="font-size: 16px; color: rgb(255, 76, 65);">3）综合治疗。</span><span style="font-size: 16px;">糖尿病患者，依据低血糖风险及本身状态对血糖控制目标进行个体化区分，在严格控制血糖的基础上，对血脂异常、高血压、肥胖多重危险因素的综合控制可显著改善糖尿病患者心脑血管病变和死亡发生的风险。同时对已经明确为心脑血管疾病高危人群或明确为冠心病的病人，在选择降糖药物方案的时候可以兼顾心血管疾病情况，优先选择如SGLT2抑制剂、GLP-1受体激动剂等有心血管获益的药物。</span></p></section></section></section></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"> 因此，及时筛查血糖，不做“隐性糖人”，重视评估，对糖尿病患者及时评估包括心血管疾病的并发症，对于心脏病患者，注意全面评估血糖情况，强调综合治疗，对需要进行一级预防和二级预防的患者全面治疗。</span></p><p><section style="outline: 0px;max-width: 100%;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box 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!important;">第二住院大楼3楼（心血管内三科）</strong></span></section></section></section></section></section></section></section></section><section style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;letter-spacing: 0.544px;text-align: right;font-size: 12px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="margin-top: 10px;margin-bottom: 10px;outline: 0px;max-width: 100%;font-size: 16px;letter-spacing: 0.544px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;box-sizing: border-box;border-top: 1px solid rgb(7, 48, 196);line-height: 0;overflow-wrap: break-word !important;"><section data-filtered="filtered" style="outline: 0px;max-width: 100%;line-height: 0;width: 0px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><svg viewbox="0 0 1 1" 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