论文部分内容阅读
目的探讨老年2型糖尿病并发胆石症的相关因素。方法选择106例老年2型糖尿病患者,分为2组,A组48例为老年2型糖尿病并发胆石症,B组58例为老年2型糖尿病不伴胆结石,比较二组间TC、TG、HDL-C、LDL-C、ApoA、ApoB、HbA1c。结果A组TC、TG、LDL-C、ApoB、HbA1c均明显高于B组,差异有统计学意义(P<0.05),HDL-C,ApoA组间差异无统计学意义(P>0.05)。结论糖尿病的脂代谢紊乱是胆石症形成的危险因素,高胰岛素血症、胰岛素抵抗、血糖控制不佳、反复胆汁感染等亦与并发胆结石有关,积极控制这些危险因素可降低胆石症的发生。
Objective To explore the related factors of senile type 2 diabetes with cholelithiasis. Methods A total of 106 elderly patients with type 2 diabetes mellitus (T2DM) were selected and divided into two groups. 48 patients in group A were type 2 diabetic with cholelithiasis and 58 patients in group B were elderly type 2 diabetes without gallstones. The levels of TC, TG, HDL-C, LDL-C, ApoA, ApoB, HbA1c. Results The levels of TC, TG, LDL-C, ApoB and HbA1c in group A were significantly higher than those in group B (P <0.05). There was no significant difference between HDL-C and ApoA groups (P> 0.05). Conclusion The disorder of lipid metabolism in diabetes is a risk factor for the formation of cholelithiasis. Hyperinsulinemia, insulin resistance, poor control of blood glucose and repeated bile infection are also associated with complicated gallstones. Active control of these risk factors can reduce the occurrence of cholelithiasis.