西安市2型糖尿病患者颈动脉狭窄发生情况及其影响因素分析

doi:10.12183/j.scjpm.2021.1388

摘要/Abstract

摘要： 目的调查2型糖尿病（T2DM）患者颈动脉狭窄（CAS）的发生率,并探讨影响其发生CAS的相关影响因素。方法以2018年1月至2020年12月于西安市某医院内分泌门诊首次就诊的T2DM患者为研究对象进行资料收集、体格检查、血生化指标检测及颈动脉超声检查,对T2DM患者CAS检出情况进行描述性分析,并对CAS检出影响因素进行单、多因素分析。结果 2 679例T2DM患者中检出CAS 328例,检出率12.24%。多因素Logistic回归分析表明,年龄越大（OR=1.039）、糖尿病病程越长（OR=1.115）、血糖控制不达标（OR=1.387）、血脂异常（OR=1.970）和高血压（OR=3.725）是T2DM患者合并CAS的危险因素。结论 T2DM患者合并CAS情况突出,应重视对糖尿病病程较长和血糖控制不佳的T2DM患者进行颈动脉超声监测,针对T2DM患者合并CAS的危险因素,应尽早进行控制及预防,避免心脑血管不良事件的发生。

关键词: 2型糖尿病, 颈动脉狭窄, 血管疾病, 影响因素

Abstract: Objective To investigate the incidence of carotid artery stenosis （CAS） in patients with type 2 diabetes mellitus （T2DM） and to explore the related influencing factors for CAS. Methods The T2DM patients who first visited the endocrine clinic of a hospital in Xi'an from January 2018 to December 2020 were selected as the research object, data collection, physical examination, blood biochemical index detection and carotid ultrasound were carried out. Descriptive analysis was carried out on the detection of CAS in T2DM patients, and univariate and multivariate analysis was carried out on the influencing factors of CAS. Results Among 2 679 T2DM patients, 328 cases were complicated with CAS, and the detection rate was 12.24%. Multivariate Logistic regression analysis showed that older age （OR=1.039）, longer duration of diabetes （OR=1.115）, poor blood glucose control （OR=1.387）, dyslipidemia （OR=1.970） and hypertension （OR=3.725） were risk factors for CAS in T2DM patients. Conclusion T2DM patients with CAS are prominent. Attention should be paid to carotid ultrasound monitoring for T2DM patients with long duration of diabetes and poor blood glucose control. For diabetes patients with CAS risk factors, control and prevention methods should be carried out as soon as possible, so as to avoid the risk of cardiovascular and cerebrovascular diseases.

Key words: Type 2 diabetes mellitus, Carotid artery stenosis, Vascular disease, Influencing factor

中图分类号:

R195

孙静岚, 周红艳, 任春玲, 徐风, 贾娟娟. 西安市2型糖尿病患者颈动脉狭窄发生情况及其影响因素分析[J]. 华南预防医学, 2021, 47(11): 1388-1391.

SUN Jing-lan, ZHOU Hong-yan, REN Chun-ling, XU Feng, JIA Juan-juan. Incidence and influencing factors of carotid artery stenosis in patients with type 2 diabetes mellitus in Xi'an[J]. South China Journal of Preventive Medicine, 2021, 47(11): 1388-1391.

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