摘要
目的 探究血糖状况对糖尿病患者泌汗功能的影响。方法 选择2019年2月—2020年4月在济源市人民医院内分泌科就诊的195例糖尿病患者,使用SudoScan仪测定患者皮肤的电导率,将检查后手、足电化学皮肤电导率>60μS的109例患者设为对照组,检查后手、足电化学皮肤电导率≤60μS的86例患者设为观察组。抽取两组患者的静脉血,抽取前夜禁食,对糖尿病控制的各项指标进行测量。并对两组患者进行72 h的动态血糖监测,测定患者平均血糖、日内平均血糖波动幅度、日内最大血糖波动幅度和日间血糖平均绝对差。结果 观察组患者的甘油三酯(TG)、血清总胆固醇(TC)和低密度脂蛋白(LDL-C)指标均明显低于对照组患者(P<0.05),其他生化指标对比差异不明显(P>0.05),动态血糖检测结果显示,观察组患者平均血糖(MBG)、SD、平均血糖波动幅度(MAGE)、LAGE、MODD参数均明显高于对照组患者,差异均具有统计学意义(P<0.05)。结论 年龄、病程及血糖波动是糖尿病患者泌汗异常的影响因素,对于糖尿病患者应尽早评估泌汗功能,控制患者血糖水平的同时要注意患者的血糖波动状况。
Objective To explore the effects of blood glucose status on the sweat function of diabetic patients.Methods From February 2019 to April 2020, we selected 195 patients with diabetes who were admitted to the Department of Endocrinology in our hospital. The SudoScan was used to measure the electrical conductivity of the patient’s skin. 109 patients with an electrochemical skin conductivity of>60 μS after the examination were set as the control group, and 86 patients with electrochemical skin conductance of the hand and foot after the examination were ≤60 μS set as the observation group. The venous blood samples of the two groups of patients were taken, and the fasting was performed overnight, and the indicators of diabetes control were measured. The dynamic blood glucose monitoring was performed for 72 hours in both groups. The average blood glucose, the average daily blood glucose fluctuation range, the maximum daily blood glucose fluctuation range and the average absolute difference of daytime blood glucose were measured.Results The TG, TC and LDL-C indexes of the observation group were significantly lower than those of the control group(P<0.05), and the other biochemical indicators were not significantly different(P>0.05). The dynamic blood glucose test showed that the observation group patients MBG, SD The parameters of MAGE, LAGE and MODD were significantly higher than those of the control group, and the differences were statistically significant(P<0.05).Conclusion Fluctuation of blood glucose is an influential factor of abnormal sweating in diabetic patients. At the same time, it is necessary to pay attention to the blood sugar fluctuation of the patient while controlling the blood sugar level of the patient.
作者
苗峰
蔡咏梅
原云飞
MIAO Feng;CAI Yong-mei;YUAN Yun-fei(Clinical Laboratory,Jiyuan People’s Hospital,Jiyuan,Henan 459000,China)
出处
《医药论坛杂志》
2023年第4期96-98,103,共4页
Journal of Medical Forum
关键词
糖尿病
血糖波动
糖尿病泌汗功能异常
周围神经病变
影响
Diabetic
Blood sugar fluctuations
Abnormal sweating function of diabetes
Peripheral neuropathy
Influence
