2型糖尿病下肢血管病变相关因素分析

目的：探讨2型糖尿病患者并发下肢血管病变的各种相关因素。方法：对74例2型糖尿病患者进行下肢血管彩色多普勒超声检查，同时测定空腹血糖（FBG）及餐后2h血糖（2h-PBG）、收缩压（SBP）、舒张压（DBP）、糖化血红蛋白（HbAlc）、甘油三酯（TG）、总胆固醇（TC）、高密度脂蛋白胆固醇（HDL-C）、低密度脂蛋白胆固醇（LDL—c）及空腹胰岛素水平等，并分析上述指标与糖尿病下肢血管病变的关系。结果：糖尿病并发下肢血管病变与病程、SBP、DBP及HbAlc、空腹胰岛素水平、LDL—C明显相关。结论：为防止糖尿病下肢血管病变的发生，应尽早诊断，积极控制高血糖、高血脂、高血压及高胰岛素血症等危险因素。

Analysis on correlated factors of type 2 diabetes mellitus with complication of lower extremities vascular lession

Objective: To evaluate the correlate factors influencing type 2 diabetes mellitus with complication of lower extremities vascular lession. Methods: Seventy-four patients with type 2 diabetes mellitus were measured in lower extremities by Doppler Ultrasonography. The basical informations about patients were recorded. Fasting blood glucose, 2 hours postprandial blood glucose, systolic pressure, diastolic pressure, glycosylated hemoglobin, triglycerides, total cholesterol, high density lipoprotein-C, low density lipopro-tein-C and fasting blood insuline were examined,which were applied to analyze the relations with type 2 diabetes mellitus with complication of lower extremities blood vessel lesion. Results: The diabetes patients complicated lower extremities blood vessel lesions were significantly correlated with the length of lesion, systolic pressure, diastolic pressure, glycosylated hemoglobin, fasting blood insuline, low density lipoprotein-C. Conclusions: To prevent the occurrence of diabetes with complication of lower extremities blood vessel lesion, we should establish diagnosis as early as possible and activetly control hyperglycosemia, hy-perlipidemia, hypertension and hyperinsulinemia.