中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2011年
3期
209-211
,共3页
徐曜%刘涛%明洁%王尧%翟文松%姬秋和
徐曜%劉濤%明潔%王堯%翟文鬆%姬鞦和
서요%류도%명길%왕요%적문송%희추화
糖尿病,2型%颈动脉疾病
糖尿病,2型%頸動脈疾病
당뇨병,2형%경동맥질병
Diabetes mellitus,type 2%Carotid artery diseases
对548例2型糖尿病患者行颈动脉超声检查,比较分析有、无颈动脉粥样硬化患者的血糖、糖化血红蛋白、胆红素、血脂等指标差异.有、无动脉粥样硬化患者的血清胆红素水平分别为(13.0±7.1)和(10.9±4.9)μmol/L,两者之间差异有统计学意义(P<0.01);logistic回归分析显示总胆红素水平与颈动脉粥样硬化呈负相关(P<0.05).提示高血清胆红素可能对2型糖尿病大血管病变具有保护作用.
對548例2型糖尿病患者行頸動脈超聲檢查,比較分析有、無頸動脈粥樣硬化患者的血糖、糖化血紅蛋白、膽紅素、血脂等指標差異.有、無動脈粥樣硬化患者的血清膽紅素水平分彆為(13.0±7.1)和(10.9±4.9)μmol/L,兩者之間差異有統計學意義(P<0.01);logistic迴歸分析顯示總膽紅素水平與頸動脈粥樣硬化呈負相關(P<0.05).提示高血清膽紅素可能對2型糖尿病大血管病變具有保護作用.
대548례2형당뇨병환자행경동맥초성검사,비교분석유、무경동맥죽양경화환자적혈당、당화혈홍단백、담홍소、혈지등지표차이.유、무동맥죽양경화환자적혈청담홍소수평분별위(13.0±7.1)화(10.9±4.9)μmol/L,량자지간차이유통계학의의(P<0.01);logistic회귀분석현시총담홍소수평여경동맥죽양경화정부상관(P<0.05).제시고혈청담홍소가능대2형당뇨병대혈관병변구유보호작용.
Ultrasonography examinations were performed for carotid atherosclerosis in 548 patients with type 2 diabetes mellitus (T2DM). Blood glucose, glycosylated hemoglobin, total serum bilirubin, uric acid, total cholesterol ( TC ), triglycerides ( TG), high-density lipoprotein (HDL), low-density lipoprotein (LDL) were measured. Total serum bilirubin level in T2DM patients without carotid atherosclerosis was (13.0±7. 1 )μmol/L, while that was (10. 9 ± 4. 9 )μmol/L in patients with carotid atherosclerosis (P <0. 01 ). The logistic analysis showed that total serum bilirubin level was negatively related to the presence of carotid atherosclerosis ( P < 0. 05 ), which indicated that higher level of total serum bilirubin might be a protective factor for macroangiopathy in T2DM.