Correlation Between Type 2 Diabetes Mellitus and Stanford Type B Aortic Dissection
Objective To study the correlation between type 2 diabetes mellitus and Stanford type B aortic dissection.Methods From June 2019 to June 2023,50 patients with Stanford type B aortic dissection admitted to hospital were selected as the research objects.All patients were treated with endovascular interventional stent implantation.According to the blood glucose level before operation,the patients were divided into type 2 diabetes mellitus group(n=17)and non-diabetes group(n=33).The general data,surgical clinical indicators(total operation time,intraoperative blood loss,hospitalization time),and the incidence of postoperative complications were compared between the two groups.Logistic multivariate regression analysis was used to analyze the correlation between type 2 diabetes mellitus and Stanford type B aortic dissection.Results There were no significant difference in age,a history of coronary heart disease and acute onset between the two groups(P＞0.05).There were significant differences in gender,smoking,hypertension,mural thrombus and renal artery involvement between the two groups(P＜0.05).Logistic multivariate regression analysis showed that hypertension,renal artery involvement and mural thrombus were independent risk factors for type 2 diabetes mellitus complicated with Stanford type B aortic dissection(P＜0.05).There were no significant difference in operation time,intraoperative blood loss and hospitalization time between the two groups(P＞0.05).The incidence of postoperative aortic dilatation,dissection rupture,and reverse tear type A dissection in the type 2 diabetes mellitus group was lower than that in the non-diabetes group,and the incidence of acute kidney injury complications was higher than that in the non-diabetes group(P＜0.05).Pearson correlation analysis showed that there was a significant correlation between type 2 diabetes mellitus and Stanford type B aortic dissection(P＜0.05).Conclusion There is a significant correlation between type 2 diabetes mellitus and Stanford type B aortic dissection.For patients with type 2 diabetes mellitus and Stanford type B aortic dissection,follow-up after interventional stent implantation should be strengthened to alert the occurrence of related complications,so as to improve the prognosis of patients.
Type 2 diabetes mellitusStanford B aortic dissectionIntracavitary interventional stent implantation
万方数据
维普
