2型糖尿病患者血清尿酸、血清镁和血脂水平对心血管疾病危险因素的评价

Sonal Sogani, Navendru Kumar Gupta, Suman Jain
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摘要

背景与目的:血脂异常是大多数糖尿病患者的常见病之一,可引起心血管疾病。然而,血清尿酸和脂质谱被认为是患糖尿病、高血压、中风和心血管疾病的潜在危险因素。微量元素如血清镁和hs-CRP与2型糖尿病有直接关系。本研究的目的是评价2型糖尿病患者血清尿酸、血清镁和血脂水平与心血管疾病危险因素的关系,并与非糖尿病患者进行比较。材料与方法:本病例对照研究在乌代浦尔PIMS生物化学系进行。该研究包括从该研究所内科门诊和病房招募的100名2型糖尿病患者(包括男性和女性),以及100名血糖正常且无糖尿病症状的健康对照者(包括男性和女性)。所有生化参数分析均在全自动分析仪- erba 360 EM上完成。生物工程学报,29(7):10- 17,2020;文章no.IJBCRR。结果:比较2型糖尿病患者与健康对照组的血脂平均值(血清胆固醇、血清甘油三酯、VLDL、LDL), 2型糖尿病患者与健康对照组比较,差异有显著性意义(p<0.001)。然而,比较健康对照组和2型糖尿病患者之间的HDL,差异似乎是显著的(p<0.05)。2型糖尿病患者的RBS、HbA1c、尿酸和hs-CRP均值与健康对照组比较,差异均有显著性意义(p<0.001)。2型糖尿病患者与健康对照组血清镁均值差异有统计学意义(p<0.05)。解释与结论:糖尿病患者常见的脂质异常可诱发血脂异常,导致心血管疾病的发生。此外,hsCRP、高尿酸血症、低镁水平的升高表明,它可能对糖尿病患者的心血管疾病和中风有更好的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Serum Uric Acid, Serum Magnesium and Lipid Profiles in Type 2 Diabetes Mellitus Patients for the Risk Factor of Cardiovascular Disease
Background and Objective: Dyslipidemia is one of the common disorders which are seen in most of the diabetes patients, which causes cardio vascular diseases. However, serum uric acid and lipid profiles are considered as the potential risk factor for developing diabetes, hypertension, stroke and cardiovascular diseases. Also the direct association of trace elements such as serum magnesium and hs-CRP in type 2 diabetes has been observed. The aim of the present study is to evaluate serum uric acid, serum magnesium and lipid profiles in type 2 diabetes mellitus patients for the risk factor of cardiovascular disease and its comparison with non diabetic subjects. Materials and Methods: This case-control study was conducted in the Department of Biochemistry, PIMS, Udaipur. The study included 100 patients with type 2 Diabetes Mellitus (both males and females) who were recruited from the institute’s medicine OPD and wards and 100 healthy controls (both males and females) with normal plasma glucose and with no symptoms suggestive of DM were included in the study. All the Biochemical parameters analysis was done on fully automated analyzer-ERBA 360 EM. Original Research Article Sogani et al.; IJBCRR, 29(7): 10-17, 2020; Article no.IJBCRR.50832 11 Results: The mean values of serum lipid profiles (serum cholesterol, serum triglycerides, VLDL, LDL) were compared between healthy controls and patients with type 2 DM, showed highly significant difference in patients with type 2 DM as compared with healthy controls (p<0.001). However, on comparing HDL between healthy controls and patients with type 2 DM, the difference seems to be significant (p<0.05). The mean values of RBS, HbA1c, uric acid and hs-CRP were highly significant in patients with type 2 DM as compared with healthy controls (p<0.001). The mean values of serum magnesium showed significant difference between healthy controls and patients with type 2 DM p<0.05). Interpretation and Conclusion: The common lipid abnormalities seen during diabetes induce dyslipidemia causing the development of CVD’s among diabetic patients. Also elevated levels of hsCRP, hyperuricemia, hypomagnesium suggest that it could be a better prognosis for CVD’s and stroke in diabetic patients.
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