不同体质指数2型糖尿病患者临床特点及对血管病变的影响  

Clinical Characteristic in Type 2 Diabetes Mellitus with Different BMI and its Influence on the Artery Diseases

作　　者：倪长霖[1] 汤云昭[1] 贾艳坤[1] 

机构地区：[1]天津医科大学代谢病医院心脏科,天津300070

出　　处：《中国慢性病预防与控制》2007年第4期334-336,共3页Chinese Journal of Prevention and Control of Chronic Diseases

摘　　要：目的观察不同体质指数(BMI)2型糖尿病患者的临床特点及对血管病变的影响。方法选取2型糖尿病患者110例,按不同BMI分为3组。1组BMI<23kg/m2;2组BMI23～25kg/m2;3组BMI>25kg/m2,分析各组股动脉内膜增厚阳性率和股动脉内膜厚度。结果三组舒张压异常率分别为17.2%,20.6%,40.4%;股动脉内膜增厚阳性率分别为46.4%,38.2%,71.7%;甘油三酯异常率分别为21.4%,36.4%,55.6%;股动脉内膜厚度分别为(0.90±0.20)、(0.93±0.26)、(1.07±0.22)mm。结论随BMI增加,糖尿病患者血管病变的发生率和严重程度增加。Objective To study the clinical characteristic in type 2 diabetes mellitus with different BMI and its influence on the artery diseases. Methods 110 patients with type 2 diabetes mellitus were divided into 3 groups with randomization. The first group was with BMI 〈23 kg/m^2, the second group with BMI 23~25 kg/m^2, the third group with BMI〉25 kg/m^2. The risk factors for the artery diseases and the intimal-media thickness of the femoral were analyzed. Results The intimal-media thicknesses of the femoral of the three groups were （0.90±0.20）mm, （0.93±0.26） mm and （1.07±0.22） mm, respectively. And the abnormal rates of the femoral intimalmedia thickness of the three groups were 46.4%, 38.2% and 71.7%, respectively. Conclusion The rate and the severity of the artery diseases in Type 2 diabetes mellitus increased with the increase of the BMI.

关 键 词：糖尿病 2型 体质指数 血管病变 

分 类 号：R587.1[医药卫生—内分泌]