中老年2型糖尿病患者颈围与糖脂代谢相关性分析

摘要

Objective:To discuss the correlation between the neck circumference and lipid metabolism in elderly patients with type 2 diabetes mellitus.Methods:234 patients with type 2 diabetes mellitus were selected,according to neck circumference,the size of the neck is divided into the normal group and the abnormal group,and the correlation between the neck circumference and the above indexes is analyzed.Results:The abnormal group of fasting blood glucose,postprandial 2 h blood glucose,fasting insulin, glycosylated hemoglobin, total cholesterol,triglyceride,low density lipoprotein were higher than normal group(P<0.05),neck circumference and postprandial 2 h blood glucose,total cholesterol,triglyceride,low density lipoprotein were positively correlated(P<0.05),neck circumference and high density lipoprotein were negatively correlated(P<0.05).Conclusion:The neck circumference and glucose metabolism and lipid metabolism indexes of middle aged and aged patients with type 2 diabetes mellitus were significantly related to the clinical prediction and monitoring of type 2 diabetes mellitus.%目的:探讨中老年2型糖尿病患者颈围与糖脂代谢的相关性.方法:筛选中老年2型糖尿病患者234例,按颈围大小分为颈围正常组和颈围异常组,分析颈围与上述各指标之间的相关性.结果:颈围异常组空腹血糖、餐后2 h血糖、空腹胰岛素、糖化血红蛋白、总胆固醇、甘油三酯、低密度脂蛋白水平高于颈围正常组,高密度脂蛋白水平低于颈围正常组(P<0.05);颈围与餐后2 h血糖、总胆固醇、甘油三酯、低密度脂蛋白呈正相关(P<0.05),颈围与高密度脂蛋白呈负相关(P<0.05).结论:中老年2型糖尿病患者颈围与糖代谢、脂代谢指标呈明显相关性,颈围可作为临床预测、监控中老年2型糖尿病的指标.