首页|2型糖尿病患者下肢血管病变(PAD)程度与血清生化指标的关系研究

2型糖尿病患者下肢血管病变(PAD)程度与血清生化指标的关系研究

Relationship between the Degree of Lower Peripheral Arterial Disease(PAD)and Serum Biochemical Indices in Type 2 Diabetic Patients

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目的 探讨血清生化指标与2型糖尿病(Type 2 Diabetes mellitus,T2DM)下肢血管病变(Peripheral Arte-rial Disease,PAD)程度的相关性.方法 回顾性选取2021年11月—2023年8月临沂市中医医院内分泌科收治的80例T2DM-PAD患者的临床资料,依据PAD严重程度不同分为轻度PAD组(29例)、中度PAD组(26例)和重度PAD组(25例).比较3组血清生化指标肌酐(Creatinine,Cr)、空腹血糖(Fasting Plasma Glucose,FPG)、总胆固醇(Total Cholesterol,TC)、糖化血红蛋白(Glycated Hemoglobin A1c,HbA1c)、高密度脂蛋白胆固醇(High Density Lipoprotein-Cholesterol,HDL-C)、甘油三酯(Triacylglyceride,TG)、低密度脂蛋白胆固醇(Low Density Lipoprotein Cholesterol,LDL-C)与缺氧诱导因子-1α(Hypoxia-Inducible Factor-1α,HIF-1α),利用Pearson相关系数分析指标与PAD程度的相关性.结果 3组TC、TG、LDL-C、FPG、HbA1c、HIF-1α与HDL-C比较,差异有统计学意义(P均<0.05).经Pearson分析,TC、TG、LDL-C与HDL-C 与PAD程度无明显相关性(P均>0.05),FPG、HbA1c与HIF-1α与PAD呈正相关(P均<0.05).结论 FPG、HIF-1α、HbA1c与T2DM患者PAD严重程度存在相关性,可以为PAD早期筛查和预防提供参考.
Objective To investigate the correlation between serum biochemical indexes and the degree of lower pe-ripheral arterial disease(PAD)in type 2 diabetes mellitus(T2DM).Methods Clinical data of 80 patients with T2DM-PAD admitted to the Endocrinology Department of Linyi Hospital of Traditional Chinese Medicine from November 2021 to August 2023 were retrospectively selected,and they were divided into mild PAD group(29 cases),moderate PAD group(26 cases)and severe PAD group(25 cases)according to the severity of PAD.Serum biochemical indexes creatinine(Cr),fasting plasma glucose(FPG),total cholesterol(TC),glycated hemoglobin A1c(HbA1c),high density lipoprotein-cholesterol(HDL-C),triacylglyceride(TG),low density lipoprotein cholesterol(LDL-C)and hypoxia-inducible factor-1α(HIF-1α)were compared among the three groups.Pearson correlation coefficient was used to ana-lyze the correlation between indicators and PAD degree.Results There were statistically significant differences in TC,TG,LDL-C,FPG,HbA1c,HIF-1α and HDL-C among the three groups(all P<0.05).By Pearson analysis,TC,TG,LDL-C and HDL-C were not significantly correlated with PAD(all P>0.05),while FPG,HbA1c and HIF-1α were positively correlated with PAD(all P<0.05).Conclusion FPG,HIF-1α and HbA1c were correlated with the severity of PAD in T2DM patients,which could provide reference for early screening and prevention of PAD.

Type 2 diabetes mellitusDegree of lower peripheral arterial diseaseSerum biochemical index

崔帆、刘化学

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临沂市中医医院内分泌科,山东临沂 276000

山东省鲁南眼科医院综合内科,山东临沂 276000

2型糖尿病 下肢血管病变程度 血清生化指标

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(7)
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