首页|血清TNC、血压及空腹血糖与糖尿病周围神经病变及增殖性糖尿病视网膜病变的相关性

血清TNC、血压及空腹血糖与糖尿病周围神经病变及增殖性糖尿病视网膜病变的相关性

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[目的]探讨血清腱生蛋白C(tenascin-C,TNC)、血压及空腹血糖(fasting blood glucose,FPG)与糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)和增生性糖尿病视网膜病变(proliferative diabetic retinopa-thy,PDR)的相关性.[方法]选取 2021 年 6 月至 2022 年 6 月柳州市红十字会医院收治的 122 例 2 型糖尿病(type 2 diabetes,T2DM)患者,按有无DPN分为 A组(不伴DPN的患者,n =75)和B组(伴 DPN 的患者,n =47);A组、B组根据是否伴PDR进一步分组,A组分为 A1 组(不伴PDR患者,n =23)和 A2 组(伴PDR患者,n =52),B组分为B1 组(不伴PDR患者,n =31)和B2 组(伴PDR患者,n =16).采用酶联免疫分析法检测各组血清 TNC水平,采用罗氏生化仪检测 FPG,测量各组血压值,分析血清 TNC、血压及 FPG与 DPN 和 PDR 的相关性.[结果]A组和B组血清 TNC、FPG 及收缩压(stolic pressure,SBP)比较,差异均无统计学意义(均 P>0.05);A组和B组舒张压(diastolic pressure,DBP)比较,差异有统计学意义(P<0.05).A1 组与 A2 组、B1 组与B2 组血清TNC水平及SBP、DBP比较,差异均无统计学意义(均P>0.05).A1 与A2 血清FPG水平比较,差异无统计学意义(P>0.05),B1 组和B2 组 FPG水平比较,差异有统计学意义(P<0.05).DPN 与 TNC、SBP 及DBP均无相关性(P>0.05),DPN 与 FPG呈正相关(P<0.05).[结论]血清 TNC 水平与 DPN、PDR 及 DPN伴PDR共同发病均无关.T2DM伴DPN患者血压高于不伴DPN患者,同时伴有DPN和PDR患者FPG水平显著高于伴DPN患者.临床医师应控制T2DM患者血压、血糖水平,以降低T2DM并发症发生率.
Relationship of Serum TNC,Blood Pressure and Blood Glucose with Diabetic Peripheral Neuropa-thy and Proliferative Diabetic Retinopathy
[Objective]To investigate the relationship of serum tenascin-C(TNC),blood pressure and blood glucose with diabetic peripheral neuropathy(DPN)and Proliferative diabetic retinopathy(PDR).[Methods]A total of 122 patients with type 2 diabetes(T2DM)admitted to Liuzhou Red Cross Hospital from June 2021 to June 2022 were selected and divided into group A(patients without DPN,n =75)and group B(patients with DPN,n =47)according to whether they had DPN or not.Group A and group B were further divided two sub-groups according to whether PDR was present.Group A was divided into group A1(patients without PDR,n =23)and group A2(pa-tients with PDR,n =52),and group B was divided into group B1(patients without PDR,n =31)and group B2(patients with PDR,n =16).Serum TNC was detected by enzyme-linked immunoassay(ELISA),Fasting blood glucose(FPG)was measured by Roche biochemical analyzer,and blood pressure was measured in each group.[Re-sults]There were no significant differences in serum TNC,FPG and systolic pressure(SBP)between group A and group B(all P>0.05).There was significant difference in diastolic pressure(DBP)between group A and group B(P<0.05).There were no significant differences in serum TNC levels,SBP and DBP values between group A1 and group A2,as well as between group B1 and group B2(all P>0.05).There was no significant difference in serum FPG level between group A1 and group A2(P>0.05),but there was significant difference in serum FPG level between B1 and B2 groups(P<0.05).There was no correlation of DPN with TNC,SBP and DBP(P>0.05),but there was a positive correlation between DPN and FPG(P<0.05).[Conclusion]Serum TNC level is not asso-ciated with DPN,PDR or DPN with PDR.Patients with DPN had higher blood pressure than those without DPN,and patients with both DPN and PDR had higher FPG than those with DPN and PDR alone.Clinicians should con-trol blood pressure and blood sugar levels in patients with T2DM to reduce the incidence of T2DM complications.Clinicians should pay attention to timely treatment and control of blood pressure and blood sugar in T2DM patients to reduce the occurrence of T2DM complications.

Diabetic Neuropathies/CODiabetic Retinopathy/CODiabetes Mellitus,Type 2/COTenascin/BLBlood PressureBlood Glucose

覃彦平、何建明、黄红波、韩光杰、柯柳华、覃振仲

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柳州市红十字会医院检验科,广西 柳州 545001

柳州市红十字会医院内科,广西 柳州 545001

柳州市红十字会医院眼科,广西 柳州 545001

柳州市中医医院检验科,广西柳州 545001

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糖尿病神经病变/并发症 糖尿病视网膜病变/并发症 糖尿病,2型/并发症 腱糖蛋白/血液 血压 血糖

广西卫生健康委自筹经费科研课题

Z20210590

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(3)
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