内科

目的探讨初诊2型糖尿病（T2DM）患者反应性充血指数（RHI）的影响因素。方法回顾性分析214例初诊T2DM患者的临床资料，应用多元线性回归模型分析初诊T2DM患者RHI水平的影响因素。结果 214例初诊T2DM患者的RHI水平为（1.53±0.36），不同糖化血红蛋白（HbA1c）水平、空腹血糖（FBG）水平、超敏C反应蛋白（hs‑CRP）水平、冠状动脉Gensini评分的初诊T2DM患者的RHI水平差异均有统计学意义（均P<0.05），HbA1c水平、FBG水平、hs‑CRP水平、冠状动脉Gensini评分均为初诊T2DM患者RHI水平的独立影响因素（均P<0.05）。结论初诊T2DM患者RHI水平较低，HbA1c水平、FBG水平、冠状动脉Gensini评分、hs‑CRP水平均是初诊T2DM患者RHI的影响因素。

Objective To investigate the influencing factors of reactive hyperemia index (RHI) in patients with newly diagnosed type 2 diabetes mellitus (T2DM). Methods The clinical data of 214 patients with newly diagnosed T2DM were retrospectively analyzed, and the influencing factors of RHI level in newly diagnosed T2DM patients were analyzed by the multivariate linear regression model. Results The RHI level of 214 patients with newly diagnosed T2DM was (1.53±0.36). There were statistically significant differences in RHI levels of newly diagnosed T2DM patients with different hemoglobin A1c (HbA1c) levels, fasting blood glucose (FBG) levels, hypersensitive C-reactive protein (hs-CRP) levels, and coronary Gensini scores (all P<0.05). The HbA1c level, FBG level, hs-CRP level, and coronary Gensini score were independent influencing factors of RHI level in newly diagnosed T2DM patients (all P<0.05). Conclusion Patients with newly diagnosed T2DM have lower RHI levels, and the HbA1c level, FBG level, coronary Gensini score, and hs-CRP level are influencing factors of RHI in patients with newly diagnosed T2DM.

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