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  1. Dokkyo Journal of Medical Sciences
  2. 40(3) 2013

2 型糖尿病患者の血管内皮機能評価およびその関連因子の検討

https://dmu.repo.nii.ac.jp/records/1147
https://dmu.repo.nii.ac.jp/records/1147
6c48c2e3-23f7-47f6-a823-22820418c5ce
名前 / ファイル ライセンス アクション
KJ00008800559.pdf KJ00008800559.pdf (302.6 kB)
Item type [ELS]学術雑誌論文 / Journal Article(1)
公開日 2017-05-24
タイトル
タイトル 2 型糖尿病患者の血管内皮機能評価およびその関連因子の検討
タイトル
言語 en
タイトル The Association Between Type 2 Diabetes Mellitus and Endothelial Dysfunction:The Analysis of Relevant Factors
言語
言語 jpn
キーワード
主題 血管内皮機能障害
キーワード
主題 2型糖尿病
キーワード
主題 Flow-mediated dilation( FMD)
キーワード
言語 en
主題 Endothelial dysfunction
キーワード
言語 en
主題 Type 2 diabetes mellitus
キーワード
言語 en
主題 Flow-mediated dilation( FMD)
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
雑誌書誌ID
収録物識別子 AA00629581
論文名よみ
タイトル 2ガタ トウニョウビョウ カンジャ ノ ケッカン ナイヒ キノウ ヒョウカ オヨビ ソノ カンレン インシ ノ ケントウ
著者 鈴木, 國弘

× 鈴木, 國弘

WEKO 5538

鈴木, 國弘

ja-Kana スズキ, クニヒロ

Search repository
青木, 千枝

× 青木, 千枝

WEKO 5539

青木, 千枝

ja-Kana アオキ, チエ

Search repository
飯嶋, 寿江

× 飯嶋, 寿江

WEKO 5540

飯嶋, 寿江

ja-Kana イイジマ, トシエ

Search repository
田中, 精一

× 田中, 精一

WEKO 5541

田中, 精一

ja-Kana タナカ, セイイチ

Search repository
二井谷, 舞

× 二井谷, 舞

WEKO 5542

二井谷, 舞

ja-Kana ニタニ, マイ

Search repository
城島, 輝雄

× 城島, 輝雄

WEKO 5543

城島, 輝雄

ja-Kana ジョウジマ, テルオ

Search repository
麻生, 好正

× 麻生, 好正

WEKO 5544

麻生, 好正

ja-Kana アソウ, ヨシマサ

Search repository
Suzuki, Kunihiro

× Suzuki, Kunihiro

WEKO 5545

en Suzuki, Kunihiro

Search repository
Aoki, Chie

× Aoki, Chie

WEKO 5546

en Aoki, Chie

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Iijima, Toshie

× Iijima, Toshie

WEKO 5547

en Iijima, Toshie

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Tanaka, Seiichi

× Tanaka, Seiichi

WEKO 5548

en Tanaka, Seiichi

Search repository
Niitani, Mai

× Niitani, Mai

WEKO 5549

en Niitani, Mai

Search repository
Jojima, Teruo

× Jojima, Teruo

WEKO 5550

en Jojima, Teruo

Search repository
Aso, Yoshimasa

× Aso, Yoshimasa

WEKO 5551

en Aso, Yoshimasa

Search repository
著者所属(日)
獨協医科大学内科学(内分泌代謝)
著者所属(日)
獨協医科大学内科学(内分泌代謝)
著者所属(日)
獨協医科大学内科学(内分泌代謝)
著者所属(日)
獨協医科大学内科学(内分泌代謝)
著者所属(日)
獨協医科大学内科学(内分泌代謝)
著者所属(日)
獨協医科大学内科学(内分泌代謝)
著者所属(日)
獨協医科大学内科学(内分泌代謝)
著者所属(英)
en
Department of Endocrinology and Metabolism Dokkyo Medical University
著者所属(英)
en
Department of Endocrinology and Metabolism Dokkyo Medical University
著者所属(英)
en
Department of Endocrinology and Metabolism Dokkyo Medical University
著者所属(英)
en
Department of Endocrinology and Metabolism Dokkyo Medical University
著者所属(英)
en
Department of Endocrinology and Metabolism Dokkyo Medical University
著者所属(英)
en
Department of Endocrinology and Metabolism Dokkyo Medical University
著者所属(英)
en
Department of Endocrinology and Metabolism Dokkyo Medical University
記事種別(日)
内容記述タイプ Other
内容記述 原著
記事種別(英)
内容記述タイプ Other
内容記述 Original
抄録(日)
内容記述タイプ Other
内容記述 要 旨 【目的】血管内皮機能障害は動脈硬化発症の端緒であり,糖尿病患者の血管障害を評価する上で非常に有用な生理学的機能検査である.そこで,実際の糖尿病診療をうけている患者の内皮機能を評価し,各種パラメータが与える影響を検討した.【方法】獨協医科大学内分泌代謝内科に通院している合併症のない2 型糖尿病患者に対して,臨床研究に同意した234名( 男性:133名,女性:101名)を対象として, 血管内皮機能を測定し,血糖値,血圧,脂質,喫煙歴,糖尿病罹患歴,Body mass index に対する相関を検討した.【結果】血糖コントロール(HbA1c),( 収縮期)血圧, 脂質(TG, LDL, non-HDL)に血管内皮機能は相関を認め,また糖尿病罹患歴にも相関を認めた.【結論】血管内皮機能検査で動脈硬化をより早期に拾い上げ,相関した因子を厳重に管理することで,糖尿病患者の動脈硬化性疾患の発症・進展阻止に十分な効果が期待できると考えられた.
抄録(英)
内容記述タイプ Other
内容記述 Background:The endothelium plays a major role in the regulation ofvascular tone. Endothelial dysfunction precedes apparentatherosclerosis in human. Type 2 diabetes mellitus(T2DM) is one of the most risk factors for arterioscleroticvascular disease, primarily, as the result of adverse changesin arteries. Therefore, identifying the factors related to impairedendothelial- dependent dilation with T2DM is crucialfor the purpose of prevention and/or treatment endothelialdysfunction.Objective:The aim of this study was to examine relevant factors associatedwith endothelial dysfunction in T2DM. In a total of234 diabetes patients, we assessed endothelial function byflow-mediated dilation and analyzed relevant factors effectedon endothelial function.Methods:We enrolled 234 T2DM patients attending Dokkyo MedicalUniversity Hospital( April from 2008 to February 2012).There were no changes in medications on hypertension, diabetes,and dyslipidemia during the previous 3 months. Thevascular response to reactive hyperemia in the brachial arterywas used for assessment of endothelial function(Flow-mediated dilation:FMD).Results:In this study, HbA1c, systolic blood pressure, LDL-cholesterol,Triglycerides, and duration of diabetes were negativelyassociated with % FMD by simple linear regressionanalysis. Furthermore, multivariate analysis revealed thatHbA1c, LDL-cholesterol, and duration of diabetes were alsoindependent predictors of the endothelial dysfunction.Conclusion:Our data showed that the tight management of relevantfactors related to impaired endothelial function in T2DM,might improve endothelium-dependent dilatation, suggestinga potential reduction in overall arteriosclerotic vasculardisease.
書誌情報 Dokkyo journal of medical sciences

巻 40, 号 3, p. 169-174, 発行日 2013-10-25
ISSN
収録物識別子 03855023
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