당뇨병환자의 말초혈관질환 빈도와 위험인자에 관한 연구

• Published in: Diabetes & metabolism journal Vol. 19; no. 3; pp. 313 - 318
• Main Authors: 박기락, Ki Lack Park, 조성래, Sung Rae Cho, 한승엽, Seung Yeup Han, 임태형, Tae Hyeong Lim, 박진용, Jin Yong Park, 박근용, Keun Yong Park, 이인규, In Kyu Lee, 한형원, Hyoung Won Han
• Format: Journal Article
• Language: Korean
• Published: 대한당뇨병학회 30.09.1995
• Subjects: Diabetics; Peripheral vascular disease; Risk factor
• ISSN: 2233-6079; 2233-6087

/A Background: Some reports suggested that increased incidence and early onset of peripheral vascular disease has been documented in the diabetics. The present study was undertaken to evaluate risk factor and prevalence of peripheral vascular disease in the diabetic patients. Method: We studied 65 diabetic patients(average age, 57years) who admitted to the department of internal medicine of Dong San Medical Center. We examined 65 diabetic patients for the presence of peripheral vascular disease by means of measurement of segmental pressure by Doppler method. All 65 diabetic patients were divided by Group 1(diabetics without peripheral vascular disease) and Group 2 (diabetics with peripheral vascular disease). Results: The prevalence of peripheral vascular disease was 68%(44cases/65 diabetics). Diabetic duration in Group 2 was two times longer than that in Group 1(p<0.01). Total amount of 24 hours urinary protein in Group 2 was larger than that in group l(p <0.05). And the level of high density lipoprotein in Group 2 was lower than that in group 1(p<0.05). Risk factors for peripheral vascular disease in diabetics were evaluated by multivariate discriminant analysis and the following factors were identified by statistical significance of p <0.0l; duration of diabetes, low density lipoprotein, and of p<0.05; high density lipoprotein, in case of need for insulin therpy, male, sex, fasting blood sugar, systolic blood pressure. Conclusion: These datas suggest that the prevalence of peripheral vascular disease in patients with diabetes mellitus is increased and risk factors for peripheral vascular disease in those patients were similar in patients with general atherosclerosis.