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目的探讨糖尿病患者不同血管并发症与血液流变学的关系。方法 58例糖尿病住院患者,分为无并发症组(15例)、微血管并发症组(23例)、大血管并发症组(20例),测定血液流变学各项指标进行统计学分析。结果微血管并发症组和大血管并发症组各项指标比较,差异无统计学意义(P>0.05);微血管并发症组与大血管并发症组的红细胞比容和血沉与无并发症组比较,差异具有统计学意义(P<0.05)。结论血液流变学改变在糖尿病患者不同血管并发症中起同样的作用;糖尿病患者微血管并发症发生与红细胞比容有较明显的关系。
Objective To investigate the relationship between different vascular complications and hemorheology in diabetic patients. Methods Fifty-eight inpatients with diabetes were divided into three groups: non-complication group (15 cases), microvascular complication group (23 cases) and macrovascular complications group (20 cases). The indexes of hemorheology were measured and statistically analyzed. Results There was no significant difference between the microvascular complications group and the macrovascular complications group (P> 0.05). Compared with the hematopoietic and erythrocyte sedimentation rate group and the non-complication group in the microvascular complication group and macrovascular complication group, The difference was statistically significant (P <0.05). Conclusion Hemorheological changes play a similar role in different vascular complications in patients with diabetes. The incidence of microvascular complications in diabetic patients has a significant relationship with hematocrit.