新诊断糖尿病患者周围血管病变患病率及危险因素分析  

Analysis on prevalence rate of peripheral vascular disease in patients with newly diagnosed diabetes and its risk factors

作　　者：杨军[1] 万沁[1] 钟海花[1] 李华[1] 

机构地区：[1]泸州医学院附属医院内分泌科,四川泸州646000

出　　处：《现代医药卫生》2016年第14期2155-2156,2159,共3页Journal of Modern Medicine & Health

摘　　要：目的了解新诊断糖尿病患者周围血管病变(PVD)的患病率,探讨PVD发生的危险因素。方法回顾性分析该院2013年6月至2015年5月在内分泌科住院并行踝肱指数(ABI)检查的648例新诊断糖尿病患者的临床资料。以ABI≤0.9作为PVD的诊断标准。648例患者中,52例(8.0%)患者合并PVD(PVD组)和596例患者未合并PVD(对照组)。比较两组患者在临床及生化指标上的差异,分析PVD发生的危险因素。结果男性PVD患病率为8.3%(33/398),女性为7.6%(19/250)。70岁以上患者PVD的患病率为21.6%(11/51)。PVD组吸烟史比例、高血压比例、TG水平、HDL-C水平与对照组比较,差异均有统计学意义(P<0.05)。结论吸烟、高血压、TG、HDL-C是新诊断糖尿病患者PVD发生的危险因素,需要医护人员积极采取多种措施,做到早期预防、早期诊断及治疗。Objective To understand the prevalence rate of peripheral vascular disease（PVD） in the patients with newly diagnosed diabetes mellitus（DM） and to study its risk factors. Methods The clinical data in 648 inpatients with newly diagnosed DM and the ankle brachial pressure index（ABI） examination in our hospital from June 2013 to May 2015 were retrospectively analyzed.ABI≤0.9 was used as the diagnostic standard of PVD. Among 648 cases,52 cases（8.0%） were complicated by PVD（PVD group）and 596 cases were non-PVD（control group）. The differences in clinical and biochemical indicators were compared between the two groups. The risk factors causing PVD were analyzed. Results Male prevalence rate was 8.3%（33/398）,female was 7.6%（19/250）. Prevalence rate of PVD in the patients aged over 70 years old was 21.6%（11/51）. The proportion of smoking history,hyper tension,TG and HDL-C levels had statistical differences between the PVD group and the control group（P〈0.05）. Conclusion Smoking,hypertension,TG and HDL-C are the risk factors of PVD occurrence in the patients with newly diagnosed DM,which needs the medical staff to actively adopt multiple measures for achieving early prevention, early diagnosis and early treatment.

关 键 词：糖尿病血管病变 糖尿病 危险因素 吸烟 高血压 甘油三酯类 脂蛋白类 LDL 

分 类 号：R587.2[医药卫生—内分泌]