中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
25期
19-21
,共3页
赖日辉%罗志宏%黄振%谭秋娴%陈小玲%陆七娣%谭燕玲%廖咪妮
賴日輝%囉誌宏%黃振%譚鞦嫻%陳小玲%陸七娣%譚燕玲%廖咪妮
뢰일휘%라지굉%황진%담추한%진소령%륙칠제%담연령%료미니
2型糖尿病%脑梗死%血糖波动%颈动脉内膜中层厚度
2型糖尿病%腦梗死%血糖波動%頸動脈內膜中層厚度
2형당뇨병%뇌경사%혈당파동%경동맥내막중층후도
Type 2 diabetes%Infarction%Blood glucose fluctuations%Internal carotid artery intima-media thickness
目的:探讨T2DM合并急性脑梗死患者血糖波动与IMT的关系。方法收集2013年1月~2014年2月我院住院的T2DM患者45例将其作为T2DM组,收集与T2DM组患者相同时间段来我院住院治疗的T2DM合并急性脑梗死患者50例将其作为DMCI组,测定两组患者颈动脉IMT,将DMCI组分为IMT增厚组29例、IMT正常组21例,比较各组资料并对IMT与其他指标的相关性进行分析。结果①DMCI组SBP、DBP、LDL-C、TC、TG、HbA1C、IMT、MAGE均显著高于T2DM组,两组差异有统计学意义(P<0.05)。②IMT增厚组SBP、LDL-C、IMT、MAGE均显著高于IMT正常组,两组差异有统计学意义(P<0.05)。③MAGE、LDL-C、SBP为IMT的影响因素(P<0.05)。结论对高血糖患者高效平稳降糖降低血糖波动幅度能使动脉硬化风险降低,减少糖尿病并发症的发生。
目的:探討T2DM閤併急性腦梗死患者血糖波動與IMT的關繫。方法收集2013年1月~2014年2月我院住院的T2DM患者45例將其作為T2DM組,收集與T2DM組患者相同時間段來我院住院治療的T2DM閤併急性腦梗死患者50例將其作為DMCI組,測定兩組患者頸動脈IMT,將DMCI組分為IMT增厚組29例、IMT正常組21例,比較各組資料併對IMT與其他指標的相關性進行分析。結果①DMCI組SBP、DBP、LDL-C、TC、TG、HbA1C、IMT、MAGE均顯著高于T2DM組,兩組差異有統計學意義(P<0.05)。②IMT增厚組SBP、LDL-C、IMT、MAGE均顯著高于IMT正常組,兩組差異有統計學意義(P<0.05)。③MAGE、LDL-C、SBP為IMT的影響因素(P<0.05)。結論對高血糖患者高效平穩降糖降低血糖波動幅度能使動脈硬化風險降低,減少糖尿病併髮癥的髮生。
목적:탐토T2DM합병급성뇌경사환자혈당파동여IMT적관계。방법수집2013년1월~2014년2월아원주원적T2DM환자45례장기작위T2DM조,수집여T2DM조환자상동시간단래아원주원치료적T2DM합병급성뇌경사환자50례장기작위DMCI조,측정량조환자경동맥IMT,장DMCI조분위IMT증후조29례、IMT정상조21례,비교각조자료병대IMT여기타지표적상관성진행분석。결과①DMCI조SBP、DBP、LDL-C、TC、TG、HbA1C、IMT、MAGE균현저고우T2DM조,량조차이유통계학의의(P<0.05)。②IMT증후조SBP、LDL-C、IMT、MAGE균현저고우IMT정상조,량조차이유통계학의의(P<0.05)。③MAGE、LDL-C、SBP위IMT적영향인소(P<0.05)。결론대고혈당환자고효평은강당강저혈당파동폭도능사동맥경화풍험강저,감소당뇨병병발증적발생。
Objective To investigate the relationship of T2DM with acute glucose fluctuations and IMT. Methods Forty-five cases of T2DM patients were selected from January 2013 to 2014 February in our hospital as T2DM group, 50 cases of T2DM patients with acute cerebral infarction were selected in our hospital on the same period with T2DM group as DMCI group,the carotid artery IMT of two groups were measured, the patients in the DMCI group were divided into IMT thickening group(n=29), IMT normal group(n=21), the data of every groups were compared and the correlation of IMT with other indicators were analyzed. Results ①SBP, DBP, LDL-C, TC, TG, HbA1C, IMT, MAGE of DMCI group were higher than T2DM group, the difference was significant(P<0.05). ②SBP, LDL-C, IMT, MAGE IMT of IMT thickening group was significantly higher than IMT normal group, the difference was significant (P <0.05). ③MAGE, LDL-C, SBP were the influence factors for IMT (P<0.05). Conclusion Patients with high blood sugar stable and effi-cient glucose lowering blood sugar fluctuations can reduce the risk of atherosclerosis, reduce the incidence of diabetic complications.