首页|老年糖尿病患者颈动脉血管病变与血糖控制水平的关系分析

老年糖尿病患者颈动脉血管病变与血糖控制水平的关系分析

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目的 探究老年糖尿病(DM)患者颈动脉血管病变与血糖控制水平的关系.方法 选取 2020 年 1 月至 2023 年10 月我院收治的 62 例老年DM患者,根据老年DM患者是否发生颈动脉血管病变将 62 例DM患者分为未病变组33 例和病变组 29 例,采用Logistic回归分析探究老年DM患者颈动脉血管病变与血糖控制水平的关系.结果 未病变组收缩压(SBP)低于病变组,差异有统计学意义(P<0.05);未病变组低密度脂蛋白胆固醇(LDL-C)水平显著低于病变组,差异有统计学意义(P<0.05);62 例患者中共 30 例患者血糖得到严格控制,20 例患者血糖得到基本控制,12 例患者血糖未得到控制,其中未病变组血糖控制率为 87.88%,高于病变组的 65.52%,差异有统计学意义(P<0.05);多因素Logistic回归分析结果显示:颈动脉血管病变与血糖控制水平密切相关(P<0.05).结论 老年DM患者血糖控制水平与颈动脉血管病变具有相关性,临床上可通过严格控制血糖水平以降低颈动脉血管病变发生率与死亡率.
Analysis of the Relationship Between Carotid Artery Lesions and Blood Glucose Control Level in Elderly Patients with Diabetes Mellitus
Objectives To explore the relationship between carotid artery lesions and blood glucose control level in elderly patients with diabetes mellitus(DM).Methods A total of 62 elderly patients with DM admitted to our hos-pital from January 2020 to October 2023 were selected.According to theoccurrence of carotid artery lesions,the patients were divided intonon-lesion group(33 cases)andlesion group(29 cases).The relationship between carotid artery lesions and blood glucose control level in elderly patients with DM was analyzed through logistic regression.Results The systolic blood pressure(SBP)of the non-lesion group was significantly lower than that of the lesion group(P<0.05).The level of low-density lipoprotein cholesterol(LDL-C)in the non-lesion group was significantly lower than that in the lesion group(P<0.05).Among the 62 patients,30 patients'blood glucose was strictly con-trolled,20 patients'blood glucose was basically controlled,and 12 patients'blood glucose was not controlled.The blood glucose control rate in the non-lesion group was 87.88%,which was significantly higher than the 65.52%in the lesion group(P<0.05).Multivariate logistic regression analysis showed that carotid artery lesion was closely relat-ed to blood glucose control level(P<0.05).Conclusions The level of blood glucose control level is correlated with carotid artery lesions in elderly patients with DM.In clinical practice,the incidence and mortality of carotid artery lesions can be reduced through strict control of blood glucose level.

Diabetes mellitusBlood glucose controlCarotid artery lesionCorrelation

柳志萍、王琴、张志

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上栗县中医院,江西 上栗 337009

糖尿病 血糖控制 颈动脉血管病变 相关性

2024

现代诊断与治疗
南昌市医学会 南昌市医学科学研究所

现代诊断与治疗

影响因子:0.736
ISSN:1001-8174
年,卷(期):2024.35(15)