2型糖尿病患者血清LDH水平与糖尿病外围神经病变之间的关系
Meng Sun1,2, Zhaodi Wang3, Xu Yan1
1Ningbo Key Laboratory of Nervous System and Brain Function, Department of Neurosurgery, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang, China.
Frontiers in endocrinology
|November 14, 2025
概括
较高的乳酸脱酶 (LDH) 水平与2型糖尿病患者糖尿病外围神经病变 (DPN) 的风险增加有关. 这一发现表明,LDH可能是DPN风险的有用生物标志物.
科学领域:
- 内分泌学和新陈代谢学
- 神经学 神经学
背景情况:
- 糖尿病外围神经病变 (DPN) 是2型糖尿病 (T2DM) 的常见并发症.
- 代谢障碍和慢性炎症与DPN的发展有关.
- 乳酸脱酶 (LDH) 可能表明代谢压力和炎症,但其在DPN中的作用尚不清楚.
研究的目的:
- 在T2DM患者中调查血清LDH水平与DPN之间的关联.
- 探索LDH和DPN之间的线性和非线性关系.
主要方法:
- 在2,060名T2DM患者的横截面研究中.
- 使用了后勤回归和限制立方线 (RCS) 模型.
- 根据年龄,性别,高血压和HbA1c进行的子组分析.
主要成果:
- 35.1%的患者患有DPN.
- 较高的LDH水平独立地与增加的DPN风险相关 (调整后OR每1U/L增加:1.00;P=0.01).
- 观察到一个非线性关联,DPN概率高于142U/L (调整后OR:1.21;P=0.033).
结论:
- 血清LDH水平显示出与T2DM中的DPN有显著的非线性关联.
- LDH可能是一个具有成本效益的生物标志物,用于识别患有DPN高风险的患者.
- 需要进一步的前性研究来验证这些发现.
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