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纤溶和凝血功能变化与2型糖尿病微血管病变的关系
引用本文:王少波,施秉银,王养维,吴贵福.纤溶和凝血功能变化与2型糖尿病微血管病变的关系[J].临床医学,2006,26(7):15-16.
作者姓名:王少波  施秉银  王养维  吴贵福
作者单位:1. 陕西省人民医院内分泌科,西安,710068
2. 西安交通大学第一医院内分泌科
摘    要:目的探讨凝血与纤溶功能变化在糖尿病微血管病变中的临床意义。方法纤溶酶原激活物抑制物-1(PAI-1)活性采用发色底物法,纤维蛋白原(Fg)采用免疫浊度法测定。结果糖尿病无微血管病变组血浆PAI-1和Fg水平高于小常对照组(P〈0.05),糖尿病微血管病变组血浆PAI-1和Fg水平明显高于无微血管病变组及正常对照组(P〈0.01)。结论2型糖尿病患者存在血液的高凝及低纤溶状态,在发生2型糖尿病微血管病变后更为明显,检测2型糖尿病患者血浆中PAI-1和Fg水平,对糖尿病微血管病变的预防和治疗具有一定的临床意义。

关 键 词:糖尿病微血管病  纤溶酶原激活物抑制物-1  纤维蛋白原
收稿时间:2005-12-29
修稿时间:2005-12-29

The relationship between changes of plasma fibrinolysis and coagulation parameters and type 2 diabetic microangiopathy
WANG Shaobo,SHI Bingyin,WANG Yangwei,WU Guifu.The relationship between changes of plasma fibrinolysis and coagulation parameters and type 2 diabetic microangiopathy[J].Clinical Medicine,2006,26(7):15-16.
Authors:WANG Shaobo  SHI Bingyin  WANG Yangwei  WU Guifu
Institution:WANG) Shaobo~
Abstract:Objective To investigate the changes of plasma coagulation and fibrinolysis parameters in type 2 diabetic microangiopathy.Methods The plasminogen activator inhibitor-1(PAI-1) and plasma fibrinogen(Fg) in type 2 diabetes were measured.Results The levels of PAI-1 and Fg were signifiantly increased in both groups of patients with microangiopathy and without microangiopathy compared with controls(P<0.05).In diabetic group,it was signifiantly higher in patients with microangiopathy than those without diabetic microangiopathy(P<0.01).Conclusion The condition of high coagulation and low fibrinolytic base was in type 2 diabetes mellitus,and even more in diabetic microangiopathy.It's key to measure the levels of(PAI-1) and Fg for prevention and treatment in type 2 diabetic microangiopathy.
Keywords:Diabetic microangiopathy  Plasminogen activator inhibitor - 1  Plasma fibrinogen
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