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随机选取我院106例2型糖尿病酮症酸中毒患者,对其诱因进行回顾性分析,并按有无诱因分为两组,比较两组的生化指标、血压(BP)、体质指数(BMI)、腰臀比(WHR)、HOMA-IR和HOMA-β。结果:在有诱因组,感染为最常见诱因;无诱因组糖化血红蛋白(HbA1c)、甘油三脂(TG)、极低密度脂蛋白(VLDL)均高于有诱因组,且有统计学意义(P<0·05)。结论:感染是2型糖尿病酮症酸中毒最常见诱因,糖脂毒性与2型糖尿病酮症酸中毒的发生有一定相关性。
A total of 106 patients with type 2 diabetic ketoacidosis were randomly selected and their causes were retrospectively analyzed. The biochemical indexes, blood pressure (BP) and body mass index (BMI) were compared between the two groups according to their causes. , Waist-hip ratio (WHR), HOMA-IR and HOMA-β. Results: In the predisposing group, infection was the most common cause. HbA1c, triglyceride (TG) and VLDL were significantly higher in the predisposing group than in the predisposing group P <0 · 05). CONCLUSION: Infection is the most common cause of type 2 diabetic ketoacidosis. There is a correlation between glycolipid toxicity and type 2 diabetic ketoacidosis.