凝血功能障碍是否影响糖尿病外围神经病变的发病和进展:一项针对2型糖尿病中年和老年患者的多中心研究
Jiali Xie1,2, Xinyue Yu3, Luowei Chen1,4
1Department of Neurology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou, P.R. China.
CNS neuroscience & therapeutics
|September 11, 2024
概括
糖尿病外围神经病变 (DPN) 与凝血问题有关. 过高的纤维素素水平显著增加了2型糖尿病患者发展DPN的风险.
科学领域:
- 神经学 神经学
- 内分泌学 在内分泌学.
- 血液学 血液学 血液学
背景情况:
- 糖尿病外围神经病变 (DPN) 影响了近一半的糖尿病患者,显著影响了生存率.
- 凝血功能异常被怀疑是糖尿病中微血管并发症的贡献者.
研究的目的:
- 调查凝血功能在2型糖尿病患者DPN的发展和进展中的作用.
- 为了识别与DPN相关的特定凝血标志物.
主要方法:
- 一组1211名2型糖尿病患者的队列使用症状和电肌图进行了DPN评估.
- 测量了运动和感觉神经传导速度 (NCV),并计算了NCV总分.
- 分析了凝血参数,包括血凝时间,纤维素,激活的部分血栓形成时间 (APTT) 和D-二次体.
主要成果:
- DPN患者的凝血发生变化:血凝时间延长,纤维素素增加,APTT缩短.
- 纤维素和D-二次体与运动NCV和振幅负相关,纤维素与密歇根神经病查仪 (MNSI) 分数较高相关.
- 纤维素素独立预测了DPN风险,风险急剧升级至3.75g/L以上.
结论:
- 在2型糖尿病患者中,应监测凝血功能.
- 评估凝血参数可能有助于预测和预防DPN.
- 纤维素素是糖尿病患者中DPN风险的关键标志物.
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