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目的:探讨老年2型糖尿病(diabetes mellitus,DM)患者心脑血管病变与其体内脂代谢的相关性。方法:将90例老年2型DM患者分为心脑血管病变组(病变组)和无血管病变组(无病变组)各45例,分析心脑血管并发症与血脂水平的关系。结果:老年2型糖尿病心脑血管并发症的发生与甘油三酯(TG)、低密度脂蛋白(LDL)呈正相关。结论:对于老年2型DM患者,高甘油三酯血症和高低密度脂蛋白血症是心脑血管并发症的危险因子。积极控制老年糖尿病患者的血脂水平对心脑血管并发症有积极预防作用。
Objective: To investigate the relationship between cardiovascular and cerebrovascular diseases and lipid metabolism in elderly patients with type 2 diabetes mellitus (DM). Methods: Ninety elderly patients with type 2 DM were divided into two groups: 45 patients in the group of cardiovascular and cerebrovascular diseases (diseased group) and in the group of non-diseased group (non-lesion group). The relationship between cardiovascular and cerebrovascular complications and blood lipid levels was analyzed. Results: The incidence of cardiovascular and cerebrovascular complications in type 2 diabetes mellitus was positively correlated with triglyceride (TG) and low density lipoprotein (LDL). Conclusions: Hypertriglyceridemia and high-density lipoproteinemia are risk factors for cardiovascular and cerebrovascular complications in elderly patients with type 2 DM. Active control of blood lipid levels in elderly diabetic patients have a positive preventive effect on cardiovascular and cerebrovascular complications.