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目的研究糖尿病足溃疡合并心血管自主神经病变的危险因素。方法选取我院2013年1月~2016年1月39例糖尿病足溃疡合并心血管自主神经病变患者为观察组,选取同期在我院就诊未发生足溃疡与心血管自主神经病变的100例糖尿病患者为对照组。比较两组临床资料与实验室指标。结果观察组的病程、体质量指数(BMI)、空腹血糖(FBG)、糖化血红蛋白(Hb A_1c)、收缩压(SBP)、低密度脂蛋白(LDL)、白细胞计数(WBC)与对照组比较差异有统计学意义(P<0.05)。结论积极控制病程、BMI、FBG、Hb A1c、SBP、LDL、WBC、等危险因素,有利于降低糖尿病足溃疡并心血管自主神经病变风险。
Objective To study the risk factors of diabetic foot ulcer complicated with cardiovascular autonomic neuropathy. Methods From January 2013 to January 2016, 39 cases of diabetic foot ulcer complicated with cardiovascular autonomic neuropathy in our hospital were selected as the observation group. 100 cases of diabetic patients without foot ulceration and cardiovascular autonomic neuropathy treated in our hospital during the same period were selected. For the control group. The clinical data and laboratory indexes of two groups were compared. Results Compared with the control group, the course of disease, body mass index (BMI), fasting blood glucose (FBG), Hb A 1c, SBP, LDL and WBC in the observation group were significantly different There was statistical significance (P <0.05). Conclusions Active management of risk factors such as course of disease, BMI, FBG, Hb A1c, SBP, LDL, WBC and other factors may reduce the risk of diabetic foot ulcers and cardiovascular autonomic neuropathy.