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目的探讨老年糖尿病患者空腹血糖、糖化血红蛋白和血脂检测的意义和相关性。方法选择2013年1月至2013年12月我院慢病诊疗中心收治的老年糖尿病患者120例为观察组,同期100例健康体检老年人为对照组,比较两组人群空腹血糖、糖化血红蛋白和血脂等指标检测结果,对指标间相关性进行分析。结果观察组患者空腹血糖、糖化血红蛋白和血脂与对照组相比差异均有统计学意义(P<0.001,P<0.01)。观察组患者的FBG与TC、TG、LDL呈显著正相关(P<0.01),与HDL呈负相关(P<0.05);HbA1C与TC、TG、LDL呈显著正相关(P<0.01),与HDL呈负相关(P<0.05)。HbA1C与TC、TG、LDL和HDL的相关性优于FBG。结论老年糖尿病患者血糖和血脂密切相关,患者在监测血糖的同时也要注意监测血脂,积极降脂治疗,对预防和控制糖尿病及并发症有重要的临床意义。
Objective To investigate the significance and correlation of fasting blood glucose, glycosylated hemoglobin and blood lipids in senile patients with diabetes mellitus. Methods From January 2013 to December 2013, 120 cases of senile diabetes mellitus admitted to our hospital were selected as the observation group and 100 healthy controls were selected as the control group. The fasting blood glucose, glycosylated hemoglobin and blood lipids were compared between the two groups Index test results, analysis of the correlation between indicators. Results The fasting blood glucose, glycosylated hemoglobin and lipids in the observation group were significantly different from those in the control group (P <0.001, P <0.01). There was a significant positive correlation between FBG and TC, TG and LDL (P <0.01) and HDL (P <0.05). HbA1C was positively correlated with TC, TG and LDL (P <0.01) HDL was negatively correlated (P <0.05). The correlation between HbA1C and TC, TG, LDL and HDL is better than that of FBG. Conclusion The elderly patients with diabetes are closely related to blood glucose and blood glucose. Patients should pay attention to the monitoring of blood lipids as well as the active lipid-lowering therapy while monitoring the blood glucose. It is of important clinical significance in the prevention and control of diabetes and complications.