Analysis of Risk Factors for Atherosclerotic Cardiovascular Disease in Elderly Patients with Type 2 Diabetes Mellitus
Objective To investigate the prevalence and risk factors of atherosclerotic cardiovascular disease(ASCVD)in elderly patients with type 2 diabetes mellitus(T2DM).Methods A convenient sampling method was used to select elderly patients with type 2 diabetes mellitus who were hospitalized in the Department of Endocrinology and Metabolism of the Affiliated Hospital of Yan'an University from July to November 2022 as the subjects of investigation.The general data and disease-related data of the patients were collected.According to whether the patients were combined with ASCVD,they were divided into ASCVD group and non-ASCVD group for univariate analysis.Taking the occurrence of ASCVD in patients as the dependent variable,the statistically significant variables in the univariate analysis were included in the binary Logistic regression analysis to analyze the independent risk factors.Results A total of 219 elderly patients with type 2 diabetes mellituswere included in this study.There were 77 patients with ASCVD,with an incidence of 35.16％,mainly coronary heart disease and ischemic stroke.Univariate analysis showed that patients were male,and with smoking or long course of disease were more likely to develop ASCVD,and the incidence of ASCVD in women was 0.459 times higher than that in men.The three variables of arterial sclerosis grade(grade 3-4,grade 5-6),peripheral vascular disease and cholesterol(TC)entered the binary logistic regression equation(OR=2.430,11.194,3.059,0.459,P＜0.05),which were independent risk factors for ASCVD in elderly patients with type 2 diabetes mellitus.Conclusion The incidence of ASCVD in elderly patients with type 2 diabetes mellitusis high,especially in patients were male,and with male,smoking and long course of disease.Regular examination and evaluation of patients with arterial vascular sclerosis grade[ankle brachial artery index(ABI),brachial ankle pulse wave velocity(baPWV)],cholesterol and other indicators,and in the lifestyle and drug treatment dependence to give the corresponding health guidance,in order to delay atherosclerosis,reduce the incidence of ASCVD in patients.
Type 2 diabetes mellitusAtherosclerotic cardiovascular diseaseElderly care
万方数据
维普
