腹型肥胖与2型糖尿病患者伴动脉粥样硬化的相关性研究

Study on correlation of abdominal obesity and type 2 diabetes mellitus patients complicated with atherosclerosis

目的探讨腹型肥胖与2型糖尿病患者伴动脉粥样硬化的相关性。方法 245例2型糖尿病患者,根据动脉粥样硬化病变情况分为病变组组(199例)和非病变组(46例),比较两组腰围是否有差异。同时根据腰围又将患者分为腹型肥胖组(199例)和非腹型肥胖组(46例),分析腹型肥胖组动脉粥样硬化发生情况。结果病变组病程、吸烟例数、血压、腰围、血脂均高于非病变组,差异有统计学意义(P<0.05)。超声检查2型糖尿病患者动脉粥样硬化患者的例数明显高于临床检查,差异有统计学意义(P<0.05);腹型肥胖组动脉粥样硬化的发生率(44.90%)高于非腹型肥胖组(36.32%),差异有统计学意义(P<0.05)。结论腹型肥胖与2型糖尿病伴动脉粥样硬化疾病密切相关。

Objective To explore the correlation of abdominal obesity and type 2 diabetes mellitus patients complicated with atherosclerosis. Methods A total of 245 type 2 diabetes mellitus patients were divided by atherosclerotic lesions into lesion group (199 cases) and non-lesion group (46 cases). The difference of waistline was compared in two groups. Patients were also divided by waistline into abdominal obesity group (199 cases) and non-abdominal obesity (46 cases), and occurrence of atherosclerosis was analyzed in abdominal obesity group.Results The lesion group had higher course, smoking cases, blood pressure, waistline and blood lipids than thenon-lesion group, and their differences had statistical significance (P<0.05). Cases of type 2 diabetes mellituspatients complicated with atherosclerosis by ultrasound were obviously higher than that of clinical examination,and the difference had statistical significance (P<0.05). The abdominal obesity group had higher incidence of atherosclerosis (44.90%) than that of non-abdominal obesity group (36.32%), and the difference had statisticalsignificance (P<0.05). Conclusion Abdominal obesity is closely related to type 2 diabetes mellitus complicated with atherosclerotic disease.