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对162例患病年龄小于60岁的2型糖尿病患者测血压、身高、体重、腰围,计算体重指数和腰围身高比值;测血清甘油三酯、总胆固醇、低密度脂蛋白胆固醇;作颈动脉血管彩色多普勒超声波检查。根据彩超颈动脉有无斑块分两组进行上述测量值分析。结果两组性别、BMI、WHtR、WC、TG、TC、LDL比较,P>0.05。两组高血压比较:有斑块组高血压占62.5%(30/48),无斑块组高血压占15.8%(18/114),P<0.01。结论高血压是青壮年和中年2型糖尿病大血管病变的独立危险因素,DM2患者女性的心血管性别保护优势丧失。
Blood pressure, height, weight, waist circumference, body mass index and height to waist ratio were measured in 162 patients with type 2 diabetes who were less than 60 years old. Serum triglyceride, total cholesterol and low density lipoprotein cholesterol were measured. Carotid artery Color Doppler ultrasound examination. According to the color of the carotid artery with or without plaque divided into two groups of the above measured value analysis. Results The gender, BMI, WHtR, WC, TG, TC, LDL of the two groups were compared, P> 0.05. Hypertension was compared in two groups: 62.5% (30/48) in plaque group, 15.8% (18/114) in plaque group, P <0.01. Conclusions Hypertension is an independent risk factor for macrovascular disease in type 2 and 2 diabetes mellitus in middle-aged and young adults. Cardiovascular protection is lost in women with DM2.