糖尿病与大血管疾病关系的评价

Peihua Chen, Chuandi Pan
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引用次数: 1

摘要

我们分析了糖尿病相关大血管并发症的特点,目的是更有效地预防脑梗死后致死性并发症。对大约8000名糖尿病患者和超过50000名非糖尿病患者的相关疾病进行了评估。探讨高血压、高脂血症、冠心病、脑梗死四种主要血管并发症在不同性别、不同年龄段的分布特点及其相互关系。统计分析两大人群(伴有或不伴有上述四种主要并发症的糖尿病患者)超过600项临床检测指标。研究发现,在中国浙江省南部,大血管病变是糖尿病的主要并发症。最相关的四种血管疾病是高血压、高脂血症、冠心病和脑梗死。在65-70岁的女性糖尿病患者中,这四种并发症的发生率明显达到高峰。尿酸、甘油三酯、肌酐、总胆固醇、血清钠等指标在有无这4种并发症的糖尿病人群中差异均有统计学意义(P < 0.05)。
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 the relationship between diabetes and large blood vessel disease
We analyzed the characteristics of diabetes-related macrovascular complications with the objective of more effectively preventing later lethal complications involving cerebral infarction. The associated diseases of approximately 8,000 diabetic patients and >50,000 non-diabetic individuals were evaluated. The distribution characteristics of the four major vascular complications, hypertension, hyperlipemia, coronary heart disease and cerebral infarction in different gender and age groups, together with the relationship among these complications, were investigated. Statistical analysis entailing >600 clinical detection indices in the two major populations (diabetic patients with or without the four major complications listed above) were performed. It is found that in southern Zhejiang Province, China, macroangiopathy is the major complication of diabetes. The most relevant four vascular diseases are hypertension, hyperlipemia, coronary heart disease and cerebral infarction. There is a clear peak prevalence of these four complications in women with diabetes around the age of 65–70 years. There were significant differences in uric acid, triglyceride, creatinine, total cholesterol, serum sodium and other indices (P < 0.05) between the diabetic populations with and without the four complications.
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