[1]王 丽,蔡恒烈.2型糖尿病与Stanford B型主动脉夹层的相关性[J].医学信息,2024,37(17):69-72.[doi:10.3969/j.issn.1006-1959.2024.17.012]
　WANG Li,CAI Heng-lie.Correlation Between Type 2 Diabetes Mellitus and Stanford Type B Aortic Dissection[J].Journal of Medical Information,2024,37(17):69-72.[doi:10.3969/j.issn.1006-1959.2024.17.012]
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2型糖尿病与Stanford B型主动脉夹层的相关性()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年17期
页码:
69-72
栏目:
论著
出版日期:
2024-09-01

文章信息/Info

Title:
Correlation Between Type 2 Diabetes Mellitus and Stanford Type B Aortic Dissection
文章编号:
1006-1959（2024）17-0069-04
作者:
王 丽1; 蔡恒烈2
1.萍乡市第二人民医院内分泌科，江西 萍乡 337000；2.萍乡市人民医院普外血管介入外科，江西 萍乡 337000
Author(s):
WANG Li1; CAI Heng-lie2
1.Endocrinology Department of Pingxiang Second People’s Hospital,Pingxiang 337000,Jiangxi,China;2.Department of General Vascular Interventional Surgery,Pingxiang People’s Hospital,Pingxiang 337000,Jiangxi,China
关键词:
2型糖尿病; Stanford B型主动脉夹层; 腔内介入支架植入手术
Keywords:
Type 2 diabetes mellitus; Stanford B aortic dissection; Intracavitary interventional stent implantation
分类号:
R654.3
DOI:
10.3969/j.issn.1006-1959.2024.17.012
文献标志码:
A
摘要:
目的 研究2型糖尿病与Stanford B型主动脉夹层的相关性。方法 选取2019年6月-2023年6月入院诊断为Stanford B型主动脉夹层的50例患者为研究对象，均进行腔内介入支架植入手术治疗，术前依据血糖水平将患者分为2型糖尿病组（n=17）及非糖尿病组（n=33）。比较两组患者一般资料、手术临床指标（手术总时间、术中出血量、住院时间）、术后并发症发生率。Logistic多因素回归分析2型糖尿病与Stanford B型主动脉夹层的相关性。结果 两组年龄、既往冠心病史、是否急性发病方面比较，差异无统计学意义（P＞0.05）；两组性别、是否吸烟、是否合并高血压、附壁血栓、是否肾动脉受累比较，差异有统计学意义（P＜0.05）；Logistic多因素回归分析显示，合并高血压、肾动脉受累、附壁血栓是2型糖尿病合并Stanford B型主动脉夹层的独立危险因素（P＜0.05）；两组手术时间、术中出血量、住院时间比较，差异无统计学意义（P＞0.05）；2型糖尿病组术后主动脉扩张、夹层破裂、逆撕A型夹层发生率均低于非糖尿病组，急性肾损伤并发症发生率高于非糖尿病组（P＜0.05）；Pearson相关性分析显示，2型糖尿病与Stanford B型主动脉夹层存在明显相关性（P＜0.05）。结论 2型糖尿病与Stanford B型主动脉夹层存在明显的相关性，临床对于2型糖尿病Stanford B型主动脉夹层患者，应加强介入支架植入手术后随访警惕相关并发症的发生，以改善患者预后。
Abstract:
Objective To study the correlation between type 2 diabetes mellitus and Stanford type B aortic dissection.Methods From June 2019 to June 2023, 50 patients with Stanford type B aortic dissection admitted to hospital were selected as the research objects. All patients were treated with endovascular interventional stent implantation. According to the blood glucose level before operation, the patients were divided into type 2 diabetes mellitus group (n=17) and non-diabetes group (n=33). The general data, surgical clinical indicators (total operation time, intraoperative blood loss, hospitalization time), and the incidence of postoperative complications were compared between the two groups. Logistic multivariate regression analysis was used to analyze the correlation between type 2 diabetes mellitus and Stanford type B aortic dissection.Results There were no significant difference in age, a history of coronary heart disease and acute onset between the two groups (P>0.05). There were significant differences in gender, smoking, hypertension, mural thrombus and renal artery involvement between the two groups (P<0.05). Logistic multivariate regression analysis showed that hypertension, renal artery involvement and mural thrombus were independent risk factors for type 2 diabetes mellitus complicated with Stanford type B aortic dissection (P<0.05). There were no significant difference in operation time, intraoperative blood loss and hospitalization time between the two groups (P>0.05). The incidence of postoperative aortic dilatation, dissection rupture, and reverse tear type A dissection in the type 2 diabetes mellitus group was lower than that in the non-diabetes group, and the incidence of acute kidney injury complications was higher than that in the non-diabetes group (P<0.05). Pearson correlation analysis showed that there was a significant correlation between type 2 diabetes mellitus and Stanford type B aortic dissection (P<0.05).Conclusion There is a significant correlation between type 2 diabetes mellitus and Stanford type B aortic dissection. For patients with type 2 diabetes mellitus and Stanford type B aortic dissection, follow-up after interventional stent implantation should be strengthened to alert the occurrence of related complications, so as to improve the prognosis of patients.

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更新日期/Last Update: 1900-01-01