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老年2型糖尿病患者颈动脉粥样硬化与血清胱抑素C水平的关系

李宁 范志宏 张鲁燕

中国医药科学Issue(5):9-12,4.
中国医药科学Issue(5):9-12,4.

老年2型糖尿病患者颈动脉粥样硬化与血清胱抑素C水平的关系

Relation between carotid atherosclerosis and serum cystatin C level in elderly type 2 diabetes patients

李宁 1范志宏 2张鲁燕1

作者信息

  • 1. 山西医科大学第二医院内分泌科,山西太原 030001
  • 2. 山西医科大学
  • 折叠

摘要

Abstract

ObjectiveTo study the relation between serum cystatin C (Cys C)level and the development of carotid atherosclerosis in elderly patients with type 2 diabetes.Methods One hundred and forty-three elderly patients with type 2 diabetes were also divided into normal IMT group(n=36)and thicker IMT group(n=107) according to the intima media thickness(IMT).The 143 cases were divided into non-carotid artery stenosis group(n=109) and carotid artery stenosis group(n=34).Serum 1evels of fasting blood glucose and serum Cys C level were measured.Results The average serum Cys C level in thicker IMT group was significantly higher than that innormal group (IMTP<0.05). Average level of erum Cys C in the group with carotid artery stenosis was significantly higher than that in non restenosis group(P<0.05).In patients with type 2 diabetes,carotid IMTand carotid artery stenosis were positively correlated with serum level of cystatin C. Logistic regression analysis revealed that high serum level of cystatin C was a risk factor for carotid artery stenosis (OR=7.26,95%CI:1.222~43.153,P<0.01).Conclusion Serum cystatin C level is closely related to carotid atherosclerosis in elderly patients with type 2 diabetes mellitus, and it is also a risk factor for carotid stenosis.

关键词

2型糖尿病/胱抑素C/老年/颈动脉粥样硬化

Key words

Type 2 diabetes mellitus/Cystatin C/Elderly/Carotid atherosclerosis

分类

医药卫生

引用本文复制引用

李宁,范志宏,张鲁燕..老年2型糖尿病患者颈动脉粥样硬化与血清胱抑素C水平的关系[J].中国医药科学,2015,(5):9-12,4.

基金项目

山西省科技攻关项目(20130313017-9)。 ()

中国医药科学

2095-0616

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