首页|2型糖尿病周围神经病变症状与血糖波动的相关性研究

2型糖尿病周围神经病变症状与血糖波动的相关性研究

扫码查看
目的:研究2 型糖尿病周围神经病变(DPN)症状与血糖波动的相关性.方法:选取112 例2 型DPN患者作为研究对象,根据是否存在周围神经病变临床症状分为无症状组(DPN1 组)和有症状组(DPN2 组),收集性别、年龄、病程、生化指标、血糖波动指标,比较两组各指标的差异,并通过多因素Logistic回归分析DPN症状与血糖波动指标的关系.结果:DPN2 组TG水平低于DPN1 组、Cys-C水平高于DPN1 组(P<0.05),DPN2 组CV、SDBG、MAGE、TAR、TBR、MBG水平均高于DPN1 组,TIR水平低于DPN1 组(P<0.05).多因素Logistic回归分析显示,Cys-C、CV升高是DPN独立危险因素(P<0.05),而TIR下降是DPN的保护性因素(P<0.05).结论:HbA1c等同情况下,血糖波动和Cys-C升高是DPN症状的危险因素.
Correlation between type 2 diabetic peripheral neuropathy and blood glucose fluctuation
Objective:To explore the correlation between type 2 diabetic peripheral neuropathy(DPN)and blood glucose fluctuation.Methods:112 type 2 diabetes mellitus patients with peripheral neuropathy were included,and divided into asymptomatic group(DPN1 group)and symptomatic group(DPN2 group).Then the two groups were compared pertinent to the gender,age,disease duration,biochemical indicators and blood glucose fluctuation indicators.Multivariate logistic regression model was used to analyze the relationship between DPN symptoms and blood glucose fluctuation indicators.Results:Patients in the DPN2 group had lower TG level,yet higher Cys-C level compared to those in the DPN1 group(P<0.05).The CV,SDBG,MAGE,TAR,TBR and MBG levels in the DPN2 group were higher than those in the DPN1 group,and the TIR level was lower than that in the DPN1 group(P<0.05).Multivariate logistic regression analysis showed that elevated Cys-C and CV were independent risk factors for DPN(P<0.05),and decreased TIR was a protective factor for DPN(P<0.05).Conclusion:With the same HbA1c levels,blood glucose fluctuation and elevated Cys-C are risk factors for DPN symptoms.

type 2 diabetesperipheral neuropathysymptomglycosylated hemoglobin A1cblood glucose fluctuation

何春玲、吴涵、程锦瀚、赵咏莉、姚新明

展开 >

皖南医学院第一附属医院 弋矶山医院 内分泌科,安徽 芜湖 241001

2型糖尿病 周围神经病变 症状 糖化血红蛋白 血糖波动

安徽省自然科学基金安徽省高等学校人文社会科学研究项目

2308085MH252SK2019A0214

2024

皖南医学院学报
皖南医学院

皖南医学院学报

CSTPCD
影响因子:0.695
ISSN:1002-0217
年,卷(期):2024.43(3)