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选择2015年1月至2016年1月我院收治的2型糖尿病患者68例作为病例对象,其中无微血管病变的单纯糖尿病组34例,微血管病变组34例,选取同期体检正常者68例作为健康对照组,对比分析三组对象的血脂水平和血液流变学指标。结果微血管病变组的全血粘度、血浆粘度、红细胞压积均显著高于健康对照组和单纯糖尿病组,差异有统计学意义(P<0.05);微血管病变组的胆固醇、甘油三酯、低密度脂蛋白均显著高于健康对照组和单纯糖尿病组,差异有统计学意义(P<0.05)。结论血液流变学异常和血脂紊乱是糖尿病微血管并发症发生的危险因素,定期动态监测糖尿病患者的血脂水平和血液流变学指标对糖尿病并发症的早诊断、早治疗具有重要意义。
Sixty-eight type 2 diabetic patients treated in our hospital from January 2015 to January 2016 were selected as subjects. Among them, 34 were simple diabetic patients without microangiopathy and 34 were microvascular disease patients. 68 normal subjects were selected as healthy subjects The control group, comparative analysis of three groups of blood lipid levels and blood rheology indicators. Results The whole blood viscosity, plasma viscosity and hematocrit in the microvascular group were significantly higher than those in the healthy control group and the simple diabetic group (P <0.05). In the microvascular group, cholesterol, triglyceride, low density Lipoprotein were significantly higher than the healthy control group and simple diabetic group, the difference was statistically significant (P <0.05). Conclusions Hemorheology and dyslipidemia are risk factors for the development of microvascular complications in diabetic patients. It is of great significance to monitor the blood lipid level and hemorheology of diabetic patients on a regular basis for the early diagnosis and early treatment of diabetic complications.