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目的分析2型糖尿病下肢动脉内膜病变的发生与影响因素。方法对本院2007年1月至至2009年2月门诊和住院患者205例、排除脑梗死、脑溢血、心肌梗死、肾功能损害、双下肢皮肤颜色改变及溃烂的2型糖尿病患者,全部患者进行双下肢动脉血管彩色多普勒检查,分析下肢动脉内膜病变组与正常组一般情况及生化指标间的差异。结果①2型糖尿病患者中有51.8%患下肢动脉内膜病变,病变与病程、年龄、血脂紊乱、收缩压水平相关;②病变组与正常组的性别、FBG、BMI、HBALc、DBP均无统计意义。结论糖尿病患者应尽早控制血脂、血压,早期使用保护血管的药物有益于预防糖尿病下肢血管病变。
Objective To analyze the incidence and influencing factors of lower extremity arterial intimal diseases in type 2 diabetic patients. Methods A total of 205 outpatients and inpatients from January 2007 to February 2009 in our hospital were enrolled and all patients were excluded from type 2 diabetes patients with cerebral infarction, cerebral hemorrhage, myocardial infarction, renal dysfunction, skin color change and ulceration of both lower extremities. Double lower extremity arterial blood color Doppler examination, analysis of lower extremity arterial intimal lesions and normal group, the general situation and biochemical differences between. Results ① There were 51.8% lower extremity arterial intima lesions in type 2 diabetic patients. The pathological changes were related to the course of disease, age, dyslipidemia and systolic blood pressure. ② There were no significant differences in gender, FBG, BMI, HBALc and DBP between the two groups . Conclusion Diabetes patients should control blood lipids and blood pressure as soon as possible, and the early use of drugs to protect the blood vessels is beneficial to prevent vascular lesions of diabetic lower extremities.