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目的探讨2型糖尿病踝肱指数(ABI)与脂代谢紊乱的关系。方法检测220例2型糖尿病的ABI,根据ABI分为PAD组和非PAD组,分别检测空腹血糖、餐后2h血糖、糖化血红蛋白、总胆固醇、甘油三酯、低密度脂蛋白、高密度脂蛋白等,并进行组间比较。结果 PAD组与非PAD组比较,FPG、HbA1c差异有统计学意义(P<0.05),2hPG、TC、TG、LDL-C、HDL-C差异有统计学意义(P<0.01)。结论血糖、血脂紊乱加剧PAD的发生发展,ABI检测是临床方便、无创的诊断PAD的指标,对2型糖尿病患者应尽早开展ABI检测。
Objective To investigate the relationship between ankle-brachial index (ABI) and disturbance of lipid metabolism in type 2 diabetic patients. Methods The ABI of 220 type 2 diabetes mellitus patients were detected. The ABI was divided into PAD group and non-PAD group according to ABI. The fasting blood glucose, postprandial blood glucose 2h, glycosylated hemoglobin, total cholesterol, triglyceride, low density lipoprotein, high density lipoprotein Etc., and compared between groups. Results The difference of FPG and HbA1c between PAD group and non-PAD group was statistically significant (P <0.05). The difference of 2hPG, TC, TG, LDL-C and HDL-C was statistically significant (P <0.01). Conclusion The blood glucose and dyslipidemia aggravate the occurrence and development of PAD. ABI is a convenient and noninvasive diagnostic indicator of PAD. ABI should be detected as soon as possible in type 2 diabetic patients.