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血清25羟维生素D3水平与2型糖尿病下肢血管病变的关系研究

陈雄 陈恩德 龚小花 谷雪梅 郑景晨 沈飞霞

中国全科医学2011,Vol.14Issue(29):3331-3334,4.
中国全科医学2011,Vol.14Issue(29):3331-3334,4.

血清25羟维生素D3水平与2型糖尿病下肢血管病变的关系研究

Relationship between Serum 25-Hydroxyvitamin D3 Concentrations and Lower Limb Peripheral Arterial Disease in Type 2 Diabetic Patients

陈雄 1陈恩德 1龚小花 1谷雪梅 1郑景晨 1沈飞霞1

作者信息

  • 1. 325000浙江省温州市,温州医学院附属第一医院内分泌科
  • 折叠

摘要

Abstract

Objective To explore the relationship between 25 - hydroxyvitamin D3 [ 25 ( OH ) D3, VD ] and lower limb peripheral arterial disease ( LLPAD ) . Methods A total of 210 type 2 diabetic patients and 50 non - diabetic healthy subjects were enrolled in this study. All the diabetic patients underwent ultrasonography and were divided into 2 groups [ LLPAD group ( n =94 ) and non - LLPAD group ( n = 116 ) ] . Clinical data were collected, routine biochemical indices were determined , and serum VD were measured in the diabetic patients and the non - diabetic healthy subjects. Results VD levels decreased significantly in the LLPAD group, with statistically significant differences from the non - LLPAD group ( P < 0. 05 ). Multivariate logistic regression revealed that age ( OR = 1. 064, P = 0. 001 ), smoking ( OR = 3. 639, P = 0. 001 ), DBP ( OR = 1.046, P=0.010), HbAlc ( OR = 1.188, P =0.048), LDL - C ( OR = 1.520, P =0.028) and serum VD ( OR = 0. 096, P =0. 001 ) were independent risk factors for LLPAD among diabetic patients. Conclusion The development of LLPAD is closely related to old age, smoking, DBP, increased levels of HbAlc, LDL - C , and decreased level of serum VD.

关键词

糖尿病,2型/下肢血管病变/动脉粥样硬化/维生素D/骨化二醇

Key words

Diabetes mellitus, type 2/ Peripheral arterial disease/ Atherosclerosis/ Vitamin D/ Calcifediol

分类

医药卫生

引用本文复制引用

陈雄,陈恩德,龚小花,谷雪梅,郑景晨,沈飞霞..血清25羟维生素D3水平与2型糖尿病下肢血管病变的关系研究[J].中国全科医学,2011,14(29):3331-3334,4.

基金项目

国家自然青年科学基金项目(81000356) (81000356)

中国全科医学

OA北大核心CSTPCD

1007-9572

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