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中文摘要: 目的 探讨老年2型糖尿病并发周围神经病变的影响因素,为早期诊断和防治提供理论依据。方法 选择2016年1月—2017年8月我社区全科门诊和糖尿病门诊符合老年2型糖尿病诊断标准的患者296例为研究对象。其中并发周围神经病变215例,未并发周围神经病变81例,收集研究对象的临床资料和一般人口学资料,比较两组患者的各项指标,分析老年2型糖尿病并发周围神经病变的影响因素。结果 老年2型糖尿病并发周围神经病变组性别、吸烟状况、总胆固醇、甘油三酯、高密度脂蛋白-胆固醇、低密度脂蛋白-胆固醇、尿酸与老年2型糖尿病无周围神经病变组差异无统计学意义(P>0.05);周围神经病变组的年龄、糖尿病病程、尿素氮、空腹血糖、餐后2小时血糖、肌酐、糖化血红蛋白、谷丙转氨酶、胰岛素抵抗指数胰岛、β细胞功能指数与老年2型糖尿病无并发周围神经病变组差异有统计学意义(P<0.05);多因素logistic回归分析显示:年龄、糖尿病病程、空腹血糖、餐后2小时血糖、糖血红蛋白和胰岛β细胞功能指数是老年2型糖尿病并发周围神经病变的影响因素。结论 老年2型糖尿病并发周围神经病变是多因素作用的结果,年龄、糖尿病病程、空腹血糖、餐后2小时血糖和糖化血红蛋白是危险因素,胰岛β细胞功能指数是保护性因素。
Abstract:OBJECTIVE To explore the influence factors of peripheral neuropathy in elderly type 2 diabetes mellitus, provide theoretical basis for early diagnosis and prevention.METODS Select in my hospital General clinic and diabetes clinic from January 2016 to August 2017, there were 296 cases of elderly type 2 diabetic patients. there were 215 patients with peripheral neuropathy, 81 cases of elderly patients with type 2 diabetes without concurrent peripheral neuropathy. to collect clinical data and general demographic data of the study subjects, compare the indicators of the two groups of patients, and to analyze the influence factors of peripheral neuropathy in elderly type 2 diabetes.RESULTS Gender, smoking status, total cholesterol, triglycerides, high-density lipoprotein-cholesterol and low-density lipoprotein - cholesterol and uric acid were not statistically significant between DPN and no DPN(P>0.05); age, duration of diabetes, urea nitrogen, fasting blood glucose, blood sugar 2 hours after meal, creatinine, glycosylated hemoglobin, cereal third transaminase, islet beta cell function, insulin resistance index index compared with the difference was statistically significant between DPN and no DPN(P<0.05), multiariable Logistic regression analysis showed that age, duration of diabetes, fasting plasma glucose, postprandial 2 hours blood sugar, hemoglobin, islet beta cell function index is the influence factors of type 2 diabetes mellitus complicated with peripheral neuropathy. CONCLUSION Dpn in elder patients with T2DM was a results of the comprehensive function of many kinds of factors. age, diabetes, fasting blood glucose, 2-hour blood glucose and glycosylated hemoglobin are risk factors, the islet beta cell function index is a protective factor.
文章编号:3201806013 中图分类号:R587.1 文献标志码:
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| 作者 | 单位 |
| 徐彩勤①,庄 丽① |
| Author Name | Affiliation |
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