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  本文關(guān)鍵詞：2型糖尿病患者腓腸肌痙攣與踝肱指數(shù)關(guān)系研究　出處：《上海交通大學(xué)學(xué)報(醫(yī)學(xué)版)》2016年10期 　論文類型：期刊論文

  更多相關(guān)文章： 型糖尿病 腓腸肌痙攣 踝肱指數(shù)

【摘要】：目的·探討2型糖尿病患者腓腸肌痙攣與踝肱指數(shù)(ABI)的關(guān)系。方法·選擇2型糖尿病患者300例,根據(jù)有無腓腸肌痙攣分為陽性組(n=70)和陰性組(n=230),分別檢測各組血糖、血脂、血電解質(zhì)、ABI和下肢血管彩色超聲等,進(jìn)行單一因素方差分析和χ2檢驗,采用多因素非條件Logistic回歸分析2型糖尿病患者腓腸肌痙攣的危險因素。結(jié)果·12型糖尿病腓腸肌痙攣陽性組的空腹血糖(FBG)、三酰甘油(TAG)、總膽固醇(TC)、低密度脂蛋白膽固醇(LDL-C)、吸煙率、下肢動脈硬化和下肢動脈斑塊的發(fā)生率顯著高于陰性組(P0.05)。ABI在腓腸肌痙攣陽性組顯著低于陰性組。2ABI0.9的2型糖尿病患者的腓腸肌痙攣發(fā)生率顯著高于ABI正常組和ABI1.3組。3低ABI、高血糖、高膽固醇血癥、高低密度脂蛋白膽固醇血癥、吸煙、下肢動脈硬化、下肢動脈斑塊是2型糖尿病患者腓腸肌痙攣的危險因素,非痛性糖尿病神經(jīng)病變不引起糖尿病患者腓腸肌痙攣發(fā)生率的增加。結(jié)論·2型糖尿病患者腓腸肌痙攣和下肢動脈病變、吸煙、高血糖、高血脂有關(guān)。2型糖尿病患者一旦出現(xiàn)腓腸肌痙攣,應(yīng)行ABI檢查了解有無下肢動脈病變。
[Abstract]:Objective: to investigate the relationship between gastrocnemius spasm and ankle-brachial index (ABI) in type 2 diabetes mellitus. Gastrocnemius spasm was divided into positive group (n = 70) and negative group (n = 230). Blood glucose, blood lipid, blood electrolyte ABI and lower extremity blood vessel color ultrasound were detected. Single factor analysis of variance and 蠂 2 test were performed. Multivariate Logistic regression analysis was used to analyze the risk factors of gastrocnemius spasm in type 2 diabetic patients. Triglyceride, total cholesterol, low density lipoprotein cholesterol, low density lipoprotein cholesterol, smoking rate. The incidence of arteriosclerosis and plaque in lower extremity was significantly higher than that in negative group (P0.05). The incidence of gastrocnemius spasm in positive gastrocnemius spasm group was significantly lower than that in type 2 diabetic patients with type 2 diabetes in negative group. 2ABI 0.9. The incidence of gastrocnemius spasm in patients with type 2 diabetes was significantly higher than that in normal ABI group and ABI1.3 group. Hyperglycemia, hypercholesterolemia, high and low density lipoprotein cholesterol, smoking, arteriosclerosis of lower extremity and arterial plaque of lower extremity were risk factors of gastrocnemius spasm in type 2 diabetes mellitus. Non-pain diabetic neuropathy did not increase the incidence of gastrocnemius spasm in diabetic patients. Conclusion 路type 2 diabetes mellitus patients with gastrocnemius spasm and lower extremity artery disease smoking and hyperglycemia. Once gastrocnemius spasm occurs in type 2 diabetic patients with hyperlipidemia, ABI examination should be performed to find out whether there are arterial lesions in the lower extremity.
【作者單位】： 福建醫(yī)科大學(xué)附屬龍巖第一醫(yī)院內(nèi)分泌科;上海交通大學(xué)醫(yī)學(xué)院附屬仁濟(jì)醫(yī)院神經(jīng)外科;
【基金】：福建省衛(wèi)生計生委青年科研課題(2014-1-94)~~
【分類號】：R587.1
【正文快照】： 腓腸肌痙攣,俗稱“小腿抽筋”,是痛性痙攣中最常見的一種,其特點是腓腸肌突然發(fā)作的強直性痛性痙攣,牽掣、痛如扭轉(zhuǎn),可持續(xù)數(shù)十秒至數(shù)分鐘或更久。腓腸肌痙攣的原因有寒冷刺激、過度疲勞、缺鈣和動脈硬 化等,2型糖尿病患者因存在缺鈣、動脈硬化、下肢缺血等原因,導(dǎo)致腓腸肌痙

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