中老年男性2型糖尿病患者頸動(dòng)脈硬化與骨質(zhì)疏松的相關(guān)性
發(fā)布時(shí)間:2018-06-16 19:33
本文選題:型糖尿病 + 頸動(dòng)脈粥樣硬化 ; 參考:《中國(guó)老年學(xué)雜志》2017年22期
【摘要】:目的探討中老年男性2型糖尿病(T2DM)患者頸動(dòng)脈硬化與骨質(zhì)疏松的相關(guān)性。方法選擇T2DM患者200例,根據(jù)頸動(dòng)脈內(nèi)膜中層厚度(IMT)分為正常組與動(dòng)脈粥樣硬化組,正常組44例,IMT1.0 mm;動(dòng)脈粥樣硬化組156例,IMT≥1.0 mm。比較兩組年齡、病程、體重指數(shù)(BMI)、血壓、血糖、血脂及不同部位骨密度。結(jié)果觀察組年齡明顯大于正常組,病程顯著長(zhǎng)于正常組,BMI水平顯著低于正常組,收縮壓(SBP)水平顯著高于正常組(均P0.05);觀察組空腹血糖(FPG)、糖化血紅蛋白(Hb A1c)、總膽固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL-C)水平均顯著高于正常組(均P0.05);動(dòng)脈粥樣硬化組Ward三角、L1~4腰椎骨密度均顯著低于正常組,骨量變化率顯著高于正常組(均P0.05);兩組高密度脂蛋白(HDL-C)、舒張壓(DBP)相比差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論中老年男性T2DM患者頸動(dòng)脈硬化與骨質(zhì)疏松緊密相關(guān),年齡、病程、血糖、血脂等均可誘發(fā)頸動(dòng)脈硬化與骨折疏松,同時(shí)頸動(dòng)脈硬化的發(fā)展常伴有骨量變化,易發(fā)生骨質(zhì)疏松。
[Abstract]:Objective to investigate the correlation between carotid arteriosclerosis and osteoporosis in middle aged male patients with type 2 diabetes mellitus (T2DM). Methods 200 patients with T2DM were divided into normal group and atherosclerosis group according to carotid intima-media thickness (IMT), 44 cases in normal group were treated with IMT 1.0 mm, 156 cases in atherosclerosis group (IMT 鈮,
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