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Difference in the Incidence of Cardiovascular Events in Patients with Type 2 Diabetes Mellitus in Yi and Han Nationalities in Liangshan Area |
YOU Ze-li |
Department of Endocrinology, the First People's Hospital of Liangshan Yi Autonomous Prefecture, Liangshan, Sichuan, 615000 China |
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Abstract 【Objective】To study the incidence of cardiovascular events in patients with type 2 diabetes mellitus (T2DM) in Yi and Han nationalities in Liangshan area. 【Methods】A total of 290 patients with T2DM (Yi and Han nationalities) in Xichang city and rural areas near Xichang of Liangshan, Sichuan from May 2014 to May 2016 were selected as study subjects by the random stratified cluster sampling method. According to the presence of cardiovascular events, the patients were divided into the cardiovascular event group (n=96) and the non-cardiovascular event group (n=194). The clinical data and physiological and biochemical indexes of the patients were collected and detected. The incidence rate of cardiovascular events and risk factors were compared between the two nationalities. 【Results】The indexes of obesity, hypertension, dyslipidemia, smoking history, drinking history, body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol (TC), triglyceride (TG), and low-density lipoprotein (LDL-C) in cardiovascular event group were higher than those in non-cardiovascular event group. There were significant differences between the two groups (P<0.05).However, high-density lipoprotein cholesterol (HDL-C) was lower in the cardiovascular group than that in the non-cardiovascular event group, and the difference was statistically significant (P<0.05). The incidence of cardiovascular events in patients with T2DM of Han nationality was higher than that in Yi nationality (37.0% vs 24.4%) (P<0.05). 【Conclusion】There is a higher risk of cardiovascular events in patients with T2DM of Han nationality than of Yi nationality in Liangshan. The risk of cardiovascular events in patients with T2DM of Yi and Han nationalities in the Liangshan area can be reduced by intervening the risk factors such as obesity, hypertension, dyslipidemia, smoking history and drinking history.
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Received: 31 March 2017
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