【摘要】：目的:分析高血壓合并糖尿病患者腹部CT的圖像特征及其他相關(guān)指標(biāo),探討高血壓人群并發(fā)糖尿病的危險因素。方法:回顧性分析1 962例在東南大學(xué)附屬中大醫(yī)院行腹部CT平掃的患者臨床資料,分為正常對照組(n=858)、高血壓組(n=732)、糖尿病組(n=128)及高血壓合并糖尿病組(n=244)。測量所有受檢者腹部CT相關(guān)指標(biāo)包括脂肪肝、胰/脾CT值、內(nèi)臟脂肪(VAT)面積、皮下脂肪(SAT)面積、VAT/SAT面積值、腰大肌CT值及腹主動脈鈣化評分。應(yīng)用Logistic回歸分析篩選高血壓人群并發(fā)糖尿病的危險因素。結(jié)果:Logistic回歸分析顯示,脂肪肝、甘油三酯水平升高、高密度脂蛋白水平降低、高血壓分級增高、腰圍增大及腰大肌CT值減低是高血壓人群發(fā)生糖尿病的危險因素。結(jié)論:脂肪肝、增高的高血壓分級、肌肉脂肪浸潤程度、腰圍增大和血脂異常均會增加高血壓患者糖尿病的發(fā)病率。
[Abstract]:Objective: to investigate the risk factors of hypertension complicated with diabetes mellitus by analyzing the image features and other related indexes of abdominal CT in patients with hypertension and diabetes. Methods: the clinical data of 1 962 patients undergoing CT scan were retrospectively analyzed. They were divided into normal control group (n = 858), hypertension group (n = 732), diabetes mellitus group (n = 128) and hypertension with diabetes group (n = 244). Abdominal CT were measured including fatty liver, pancreatic / splenic CT, visceral fat (VAT) area, subcutaneous fat (SAT) area, CT value of psoas major muscle and abdominal aortic calcification score. Logistic regression analysis was used to screen the risk factors of diabetes mellitus in hypertensive population. Results the results of Logistic regression analysis showed that the increase of triglyceride level, the decrease of high density lipoprotein level, the increase of hypertension grade, the increase of waist circumference and the decrease of CT value of psoas major muscle were the risk factors of diabetes in patients with hypertension. Conclusion: fatty liver, increased grade of hypertension, degree of muscle fat infiltration, increase of waist circumference and dyslipidemia will increase the incidence of diabetes mellitus in patients with hypertension.
【作者單位】： 東南大學(xué)醫(yī)學(xué)院;東南大學(xué)附屬中大醫(yī)院放射科;
【基金】：國家自然科學(xué)基金資助課題(81371538)
【分類號】：R544.1;R587.1
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本文編號：2247538