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2型糖尿病合并和不合并冠状动脉疾病的患者血清硒水平无差异。

Serum selenium levels do not differ in type 2 diabetic subjects with and without coronary artery disease.

作者信息

Sotiropoulos Alexios, Papadodima Stavroula A, Papazafiropoulou Athanasia K, Ioannidis Aggelos, Kokkinari Athanasia, Apostolou Ourania, Spiliopoulou Chara A, Athanaselis Sotirios

机构信息

3rd Department of Internal Medicine and Center of Diabetes, General Hospital of Nikaia "Ag, Panteleimon" - Piraeus, Greece.

出版信息

BMC Res Notes. 2011 Jul 29;4:270. doi: 10.1186/1756-0500-4-270.

Abstract

BACKGROUND

The aim of the present study was to investigate whether selenium levels differ between type 2 diabetic subjects with and without coronary artery disease (CAD).

METHODS

A total of 200 subjects with type 2 diabetes (100 with CAD and 100 without CAD), consecutively selected from the diabetes outpatient clinic of our hospital were enrolled into the study. A detailed medical history and a physical examination were obtained by all the participants.

RESULTS

Serum selenium levels did not differ between diabetic subjects with and without CAD (102.40 ± 31.10 vs. 108.86 ± 33.88 microg/L, p = 0.16). In diabetic subjects with CAD multivariate linear regression analysis demonstrated significant independent associations between selenium and sex (beta = 0.21, p = 0.03) and glucose levels (beta = 0.25, p = 0.008). In diabetic subjects without CAD multivariate linear regression analysis demonstrated significant independent associations between selenium and peripheral artery disease (beta = 0.16, p = 0.05) and glucose levels (beta = -0.09, p = 0.05).

CONCLUSION

Serum selenium levels did not differ between diabetic subjects with and without CAD. In diabetic subjects with CAD, the only determinants of serum selenium levels were sex and glucose levels. In diabetic subjects without CAD the only determinants of serum selenium levels were peripheral artery disease and glucose levels.

摘要

背景

本研究旨在调查伴有和不伴有冠状动脉疾病(CAD)的2型糖尿病患者之间的硒水平是否存在差异。

方法

从我院糖尿病门诊连续选取200例2型糖尿病患者(100例伴有CAD,100例不伴有CAD)纳入本研究。所有参与者均获得详细的病史并进行体格检查。

结果

伴有和不伴有CAD的糖尿病患者血清硒水平无差异(102.40±31.10 vs. 108.86±33.88μg/L,p = 0.16)。在伴有CAD的糖尿病患者中,多因素线性回归分析显示硒与性别(β = 0.21,p = 0.03)和血糖水平(β = 0.25,p = 0.008)之间存在显著的独立关联。在不伴有CAD的糖尿病患者中,多因素线性回归分析显示硒与外周动脉疾病(β = 0.16,p = 0.05)和血糖水平(β = -0.09,p = 0.05)之间存在显著的独立关联。

结论

伴有和不伴有CAD的糖尿病患者血清硒水平无差异。在伴有CAD的糖尿病患者中,血清硒水平的唯一决定因素是性别和血糖水平。在不伴有CAD的糖尿病患者中,血清硒水平的唯一决定因素是外周动脉疾病和血糖水平。

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