CAJ | 학술논문

目的:探讨2型糖尿病颈动脉及下肢动脉病变的相关性及危险因素.方法:776例2型糖尿病患者接受颈动脉及下肢动脉彩色超声检查,依据有无动脉粥样硬化病变将患者分为两组,对两组的临床资料、生化指标与超声检查结果进行比较.结果:颈动脉与下肢动脉粥样硬化程度呈正相关,年龄、LDL-C、CHOL、糖尿病病程、超敏CRP是糖尿病颈动脉及下肢动脉粥样硬化共同的危险因素,SBP是颈动脉硬化的独立危险因素;餐后2 h血糖是下肢动脉硬化的独立危险因素.结论:颈动脉与下肢动脉粥样硬化呈等级正相关,SBP高者易发生颈动脉硬化,餐后2 h血糖高者易发生下肢动脉硬化.应多因素全面控制以防治糖尿病颈动脉及下肢动脉粥样硬化.
목적:탐토2형당뇨병경동맥급하지동맥병변적상관성급위험인소.방법:776례2형당뇨병환자접수경동맥급하지동맥채색초성검사,의거유무동맥죽양경화병변장환자분위량조,대량조적림상자료、생화지표여초성검사결과진행비교.결과:경동맥여하지동맥죽양경화정도정정상관,년령、LDL-C、CHOL、당뇨병병정、초민CRP시당뇨병경동맥급하지동맥죽양경화공동적위험인소,SBP시경동맥경화적독립위험인소;찬후2 h혈당시하지동맥경화적독립위험인소.결론:경동맥여하지동맥죽양경화정등급정상관,SBP고자역발생경동맥경화,찬후2 h혈당고자역발생하지동맥경화.응다인소전면공제이방치당뇨병경동맥급하지동맥죽양경화.
Objective:To explore the type 2 diabetic carotid and lower extremity artery disease and its risk factors. Method:776 cases with type 2 diabetic underwent carotid and lower extremity artery color doppler ultrasound examination,on the basis of a no atherosclerotic lesions,were divided into two groups. On two groups of clinical data,biochemical and ultrasound examination results were compared. Result:Carotid and lower limb atherosclerosis was positively related to the degree of age,LDL-C,CHOL,duration of diabetes,high sensitive CRP was diabetic carotid and lower extremity atherosclerotic risk factors in common. SBP was the independent risk factor for carotid atherosclerosis. 2 h postprandial glucose was an independent risk factor for lower extremity arteriosclerosis. Conclusion:Carotid and lower limb atherosclerosis hierarchically correlated,SBP high susceptible to atherosclerosis of the carotid artery,2 h postprandial hyperglycemia tend to occur in lower limb arteriosclerosis. Prevention and treatment of diabetic carotid arteries and lower limb atherosclerosis should simultaneously multiple factors comprehensive control.