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中国初级卫生保健:2018,32(4):105-106
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凝血四项和血脂检测对评估绝经后2型糖尿病患者血管病变的临床意义*
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中文摘要: 目的 探讨绝经后2型糖尿病(T2DM)患者凝血功能和血脂水平的变化及其与血管并发症的关系。方法 分别检测(T2DM)组(n=205)和对照组(n=105)血浆凝血酶原时间(PT)、活化部分凝血酶原时间(APTT)、凝血酶时间(TT)、纤维蛋白原(FIB) 、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-c)、低密度脂蛋白胆固醇(LDL-c)和甘油三酯(TG)。结果 (1)T2DM组与对照组比较,无血管病变者PT、APTT显著下降(t =2.139、1.982,P<0.05),FIB显著上升(t =2.138,P<0.05);伴血管病变组PT、APTT和TT均显著下降(t =8.554、6.263和4.852,P<0.01),FIB水平显著上升(t =3.537,P<0.01)。(2)T2DM组与对照组比较,无血管病变和伴血管病变组TG、TC和LDL-C均显著升高(t =2.226、 2.096 和2.223, P<0.05;P<4.940、3.055和3.106, P<0.01),T2DM组组内比较,伴血管病变TG、TG水平显著上升(t =3.229,P<0.01; t =2.311 ,P<0.05),混合型高脂血症发生率显著高于无血管病变组(χ2=6.256,P<0.05)。结论 分析凝血四项和血脂水平对把握病情、诊断血管病变、指导治疗及预防糖尿病并发症有重要意义,故应尽早实施监测。
中文关键词: 绝经女性  2型糖尿病  凝血  血脂  血管病变
Abstract:OBJECTIVE To analyse of four coagulation tests and lipid levels in postmenpausal women with type 2 diabetes mellitus (T2DM),and the relationship of these parameters with angiopathy.METHODS The levels of prothrombin time(PT),partial thromboplastin time (APTT),thrombin time(TT),fibrinogen(FIB) and the total cholesterol(TC)triglycerides(TG)low density lipoprotein choliesterols(LDL-C)and high density lipoprotein cholesterols(HDL-C)were determined in postmenpausal women with type 2 diabetes mellitus (n= 205)and controls (n= 105). RESULTS Compared with those of control group,the levels of PT,APTT were significantly shorter in diabetes mellitus,the level of fibrinogen (FIB) increased.Furthermore,in diabetes patients,those with angiopathy showed shorter the levels of PT,APTT,TT and higher the level of FIB.Meatime, Compared with those of control group,the levels of TG,TC and LDL-C were significantly higher in diabetes mellitus, Furthermore,in diabetes patients,those with oangiopathy showed shorter the levels of TG, TG and higher the rate of combined hyperlipidemia. CONCLUSION Four coagulation tests and lipid levels monitoring could play an important role in diseases analysis, angiopathy diagnosis and prevention of diabetic complications.we ought to examine coagulation parameters and the plasma lipids in those patients as early as possible.
文章编号:3201804039     中图分类号:R587.1    文献标志码:
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