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目的研究哈萨克族2型糖尿病患者的踝臂指数与代谢综合症相关性。方法纳入入院患者356例,其中代谢综合症患者184例,无代谢综合症患者172例。研究各代谢综合症包含因素个数和各代谢综合症及糖尿病分组的ABI值。多元线性回归模型分析非糖尿病及糖尿病人群中,代谢综合症与ABI的相关性。结果随着代谢综合症包含因素个数的增加,ABI值呈现出下降的趋势(P=0.009)。代谢综合症及糖尿病均为(-)的人群ABI最高,代谢综合症及糖尿病均为(+)的人群ABI最低。各分组的ABI值具有显著统计学差异(P=0.012)。在糖尿病人群中,在校正上述影响因素后,代谢综合症与ABI显著相关(P=0.018)。结论在哈萨克族2型糖尿病患者中,踝臂指数与代谢综合症存在相关性。
Objective To study the association between ankle brachial index and metabolic syndrome in Kazak type 2 diabetic patients. Methods A total of 356 hospitalized patients were enrolled, including 184 patients with metabolic syndrome and 172 patients without metabolic syndrome. The number of factors involved in each metabolic syndrome and the ABI values for each of the metabolic syndromes and diabetic subgroups were studied. Multivariate linear regression model was used to analyze the association between metabolic syndrome and ABI in nondiabetic and diabetic subjects. Results As the number of factors involved in metabolic syndrome increased, the ABI value showed a decreasing trend (P = 0.009). ABI is highest in people with metabolic syndrome and diabetes mellitus (-), and ABI is lowest in people with metabolic syndrome and diabetes (+). There was a statistically significant difference in ABI values between groups (P = 0.012). Metabolic syndrome was significantly associated with ABI (P = 0.018) in the diabetic population after adjusting for these factors. Conclusions Ankle brachial index is associated with metabolic syndrome in Kazak type 2 diabetic patients.