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中国初级卫生保健:2018,32(10):92-93
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2型糖尿病患者手部关节活动受限与动脉粥样硬化的超声研究
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中文摘要: 目的 探讨2型糖尿病患者手部关节活动度受限(limitied joint mobility,LJM)与颈动脉内中膜厚度(intima-media thickness,IMT)和斑块Crouse积分之间的关系。方法 连续收集解放军第211医院住院的2型糖尿病患者200例(男性116例,女性84例),将患者分为LJM组(43例)和非LJM组(157例)两组。对患者利用“祈祷标志”诊断有无LJM。利用高频超声技术检测颈动脉内中膜厚度(IMT)及斑块Crouse积分。同时收集患者自然信息及临床指标,比较两组间各指标的差异。结果 200例患者中,43例患者存在手部LJM。两组间比较LJM组患者颈动脉IMT、斑块Crouse积分明显高于非LJM组;LJM组患者年龄、患病时间、糖化血红蛋白值较非LJM组差异明显具有统计学意义(P<0.05);多元线性回归分析显示, 手部LJM与颈动脉斑块Crouse积分呈正相关(β= 0.424, P= 0.043)。 结论 2型糖尿病患者手部LJM与动脉粥样硬化有密切关系,尤其是动脉斑块Crouse积分。糖尿病手的诊断简单无创,可以对2型糖尿病患者的动脉粥样硬化进行初步的评估。
Abstract:Objective To investigate the relationship between limitied joint mobility (LJM) of hand and carotid intima-media thickness (IMT) and plaque Crouse score in patients with type 2 diabetes.Methods: 200 patients with type 2 diabetes mellitus (116 males and 84 females) were enrolled in this hospital. The subjects were divided into two groups: LJM group (43 cases) and LJM group (157 cases). The patient is diagnosed with LJM using a "pray sign".Carotid IMT and plaque Crouse scores were evaluated by high-frequency ultrasound techniques.,Compare the differences between the two groups.Results LJM of hand was present in 43patients. Comparison between the two groups: The carotid IMT and plaque crouse scores in the LJM group were significantly higher than those in patients without. The patient's age, durations of diabetes and hemoglobin of the LJM group were significantly different from those without. The difference was statistically significant (P<0.05) . Multivariate linear regression analysis revealed a positive correlation between LJM of hand and carotid plaque Crouse score (β=0.424, P= 0.043).Conclusion our results demonstrate a relation between LJM of hand and atherosclerosis, especially plaque score,in patients with type 2 diabetes. Diagnosis of diabetic hand is simple and non-invasive, and thus is a useful method for assessment of atherosclerosis in patients with type 2 diabetes.
文章编号:3201810036     中图分类号:R587.1    文献标志码:
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