初诊2型糖尿病患者微血管病变与相关危险因素分析

目的：分析初诊2型糖尿病患者微血管病变（周围神经病变、视网膜病变、糖尿病肾病）与其相关危险因素关系。方法：对120例新诊断的2型糖尿病患者进行神经传导速度、眼底荧光造影和尿微量白蛋白及相关指标测定，计算微血管病变的患病率，并对相关因素分析。结果：（1）初诊患者中糖尿病周围神经病变的患病率为34．6％，糖尿病视网膜病变的患病率为15．4％，糖尿病肾病的患病率为13．4％。（2）年龄、空腹血糖、餐后2h血糖、收缩压、舒张压、糖化血红蛋白、总胆固醇均为糖尿病周围神经病变的独立危险因素。（3）糖化血红蛋白、尿微量白蛋白、收缩压为糖尿病视网膜病变独立危险因素。结论：初诊2型糖尿病患者有一定微血管病变患病率，应强化对血压、血糖、血脂相关危险因素的干预以控制和延缓糖尿病微血管病变的发生、发展。

Newly Diagnosed Type 2 Diabetic Patients with Microvascular Disease and Related Risk Factor Analysis

Objective:To summarize the analysis of newly diagnosed type 2 diabetic patients with microvascular disease (peripheral neuropathy,retinopathy,diabetic nephropathy) associated with the relationship between risk factors.Methods:120 cases of newly diagnosed type 2 diabetes patients with nerve conduction velocity,fundus fluorescein angiography,urinary albumin and related parameters were measured to calculate the prevalence of microvascular disease,and then analyze related reasons.Results:(1) newly diagnosed pat...