凝血功能及糖化血红蛋白在判断糖尿病进展中的意义

Significance of coagulation function and glycosylated hemoglobin in judging the progression of diabetes

  • 摘要:
      目的  分析凝血功能及糖化血红蛋白对判断糖尿病进展的临床意义。
      方法  选取98例在本院治疗的糖尿病患者,将新发现糖尿病患者50例纳入观察A组,其余48例伴随微血管并发症患者为观察B组。同时,选择同期在本院行健康体检的50例健康人群为对照组。观察并比较2组患者糖化血红蛋白(HbAlc)水平、空腹血糖(FPG)以及凝血四项(部分凝血活酶时间(APTT)、凝血酶时间(TT)、凝血酶原时间(PT)、纤维蛋白原定量(Fbg)水平。
      结果  观察A组、观察B组患者的FPG、HbAlc水平显著高于对照组(P < 0.05), 且观察B组显著高于观察A组(P < 0.05)。观察B组APTT、TT、PT、Fbg显著低于观察A组、对照组(P < 0.05), 但观察A组、对照组各指标对比差异无统计学意义(P>0.05)。
      结论  临床上对糖尿病患者凝血功能及糖化血红蛋白水平进行监测,能够为诊断人员提供准确的依据,尤其对出现微血管并发症的糖尿病患者具有重要意义。

     

    Abstract:
      Objective  To analyze the clinical significance of coagulation function and glycosylated hemoglobin in judging the progression of diabetes.
      Methods  A total of 98 patients with diabetes mellitus treated in our hospital were selected, among whom 50 newly diagnosed diabetic patients were as observation A group, and the other 48 patients accompanying by microvascular complications were as observation B group. Another 50 healthy people in the hospital for physical examination at the same time were selected as control group. The glycosylated hemoglobin(HbAlc), fasting blood glucose (FPG), and levels of coagulation function thrombin time(TT), activated partial thromboplastin time(APTT), prothrombin time(PT), fasting blood glucose(Fbg) in the two groups was compared.
      Results  The levels of FPG and HbAlc in group A and group B were significantly higher than those in control group (P < 0.05), and observation B group was significantly higher than observation A group (P < 0.05). The APTT, TT, PT and Fbg in group B were significantly lower than those in observation A group and control group (P < 0.05). However, there was no significant difference in the above indexes between observation A group and control group (P>0.05).
      Conclusion  Clinical monitoring of blood coagulation function and glycosylated hemoglobin level in diabetic patients is of great significance in providing accurate basis for the diagnosis, especially for diabetic patients with microvascular complications.

     

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