首页|血清CCL11水平与T2DM合并冠状动脉粥样硬化性心脏病的相关性

血清CCL11水平与T2DM合并冠状动脉粥样硬化性心脏病的相关性

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目的 探讨血清CC趋化因子配体11(CCL11)水平与2型糖尿病(T2DM)合并冠状动脉粥样硬化性心脏病(CAD)的相关性。方法 选取2022年1月至2024年4月商洛市中心医院收治的T2DM患者146例,按照是否合并CAD分为合并CAD组(CAD组)70例及单纯T2DM组(T2DM组)76例。CAD组中男43例,女27例,年龄(61。53±8。24)岁;T2DM组中男42例,女34例,年龄(59。30±6。86)岁。收集两组一般临床资料,检测血清CCL11水平及相关代谢指标。采用t检验、x2检验。结果 CAD组T2DM病程长于T2DM组[(7。41±3。12)年比(6。08±2。58)年],低密度脂蛋白胆固醇(LDL-C)和血清 CCL11 水平均高于 T2DM 组[(3。06±1。01)mmol/L 比(2。60±0。78)mmol/L、(65。53±21。28)ng/L 比(46。47±18。36)ng/L],差异均有统计学意义(t=2。815、3。094、5。807,均P<0。05)。二元logistic回归分析结果显示,T2DM病程长、高LDL-C和血清CCL11水平均是T2DM合并CAD的危险因素(均P<0。05)。受试者操作特征曲线(ROC)分析显示,血清CCL11水平诊断T2DM合并CAD的曲线下面积(AUC)为0。751,灵敏度为65。7%,特异度为78。9%,约登指数为0。446。结论 T2DM病程长、高LDL-C和血清CCL11水平均是T2DM合并CAD的独立危险因素;血清CCL11水平对预测T2DM合并CAD具有较好的诊断价值。
Correlation between serum CCL11 level and T2DM complicated with coronary atherosclerotic heart disease
Objective To investigate the correlation between serum CC chemokine ligand 11(CCL11)level and type 2 diabetes mellitus(T2DM)complicated with coronary atherosclerotic heart disease(CAD).Methods A total of 146 T2DM patients admitted to Shangluo Central Hospital from January 2022 to April 2024 were selected and were divided into a CAD group(70 patients)and a T2DM group(76 patients)according to whether they were complicated with CAD or not.In the CAD group,there were 43 males and 27 females,aged(61.53±8.24)years.In the T2DM group,there were 42 males and 34 females,aged(59.30±6.86)years.The general clinical data of the two groups were collected,and the serum CCL11 level and related metabolic indicators were detected.ttest and x2 test were used.Results The duration of diabetes in the CAD group was longer than that in the T2DM group[(7.41±3.12)years vs.(6.08±2.58)years],and the levels of low density lipoprotein cholesterol(LDL-C)and serum CCL11 were higher than those in the T2DM group[(3.06±1.01)mmol/L vs.(2.60±0.78)mmol/L,(65.53±21.28)ng/L vs.(46.47±18.36)ng/L],with statistically significant differences(t=2.815,3.094,and 5.807,all P<0.05).Binary logistic regression analysis showed that long duration of diabetes,high LDL-C and serum CCL11 levels were risk factors for CAD in T2DM patients(all P<0.05).The receiver operator characteristic curve(ROC)analysis showed that the area under the curve(AUC)of serum CCL11 level for diagnosing T2DM with CAD was 0.751,the sensitivity was 65.7%,the specificity was 78.9%,and the Youden index was 0.446.Conclusions Long duration of diabetes,high LDL-C and serum CCL11 levels are independent risk factors for T2DM complicated with CAD.Serum CCL11 level has good diagnostic value in predicting T2DM complicated with CAD.

Type 2 diabetes mellitusCoronary atherosclerotic heart diseaseCCL11CorrelationRisk factors

王晨鸽、李艳萍

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商洛市中心医院心血管内科,商洛 726000

2型糖尿病 冠状动脉粥样硬化性心脏病 CCL11 相关性 危险因素

2024

国际医药卫生导报
中华医学会,国际医药卫生导报社

国际医药卫生导报

影响因子:0.781
ISSN:1007-1245
年,卷(期):2024.30(20)