| ObjectiveA large number of studies have shown that diabetic patients have a higher risk of stroke,so this study investigates the health status of type 2 diabetes patients in the physical examination population under the concept of health management,and uses the "cerebrovascular function score" tool to evaluate the stroke risk level of type 2diabetes patients,analyze the influencing factors of cerebrovascular function,and focus on the relationship between blood glucose control status and cerebrovascular function of diabetic patients.Finally,combined with the research results,countermeasures and suggestions are formulated from both social and individual levels to provide a theoretical basis for the primary prevention of stroke in patients with type 2 diabetes.MethodsThe patients with type 2 diabetes who participated in the health examination in the health management center of a hospital in Hangzhou from June 2022 to August2022 were selected as the research subjects,and a questionnaire survey was conducted on the subjects who met the requirements,including sociodemographic information,family history,health history and lifestyle,etc.,and the relevant physical examination indicators of the research subjects were collected,including fasting blood glucose,glycated hemoglobin,C-reactive protein,uric acid,homocysteine,etc.Epidata software was used to establish a unified database,and SPSS20.0 software was used to perform statistical analysis of data.According to the results of the CEVASCULAR function integral value,all the subjects were divided into the cerebrovascular function abnormal group(integral value<75 points)and the normal group(integral value 75),and the chi-square test,ANOVA,t-test,Mann-Whitney U test and Kruskal-Wallis H test were used to compare the distribution differences between the two groups,and the influencing factors of cerebrovascular function were analyzed by binary logistic regression.Results(1)Sociodemographic information: A total of 646 patients with type 2 diabetes were included in the analysis,including 400 men(61.92%)and 246 women(38.08%).The average age of the respondents was 56.98±7.50 years old,mainly Han(90.8%),mostly married(71.0%),the highest degree was bachelor’s degree(16.5%),and most of them were retired(26.4%).(2)Health-related conditions: The main health-related problems of type 2diabetics surveyed were: overweight or obesity(62.7%),physical inactivity(61.3%),insufficient vegetable intake(60.8%),insufficient fruit intake(60.2%),hypertension(49.1%),poor sleep quality(46.6%)and dyslipidemia(43.5%).In terms of gender distribution,overweight or obesity is the most prominent problem for men(70.3%),and physical inactivity(69.5%)is more prominent for women.With the exception of inadequate vegetable intake,physical inactivity,and poor sleep quality,men had higher rates of other health-related problems than women.There were statistically significant differences in the distribution of hypertension,overweight or obesity,smoking,alcohol consumption,dietary taste,and physical activity by sex(P<0.05).In terms of age distribution,with the increase of age,the proportion of hypertension,coronary heart disease and high homocysteinemia gradually increased,dyslipidemia and insufficient fruit intake showed a trend of first increasing and then decreasing,while lack of physical activity showed a trend of gradual decrease,and the difference was statistically significant(P<0.05).(3)Detection of people with abnormal cerebrovascular function: The average score value of cerebrovascular function in all patients with type 2 diabetes mellitus in this survey was 82.98±17.09 points,and the rate of cerebrovascular dysfunction was21.98%.In terms of gender distribution,the mean score value of cerebrovascular function in male patients(83.00±16.32)was slightly higher than that in women(82.94±18.32),and the rate of abnormal cerebrovascular function in male patients(21.0%)was lower than that in women(23.6%),and the difference was not statistically significant(P>0.05).In terms of age distribution,with the increase of age,the average score value of cerebrovascular function gradually decreases,and the rate of cerebrovascular dysfunction gradually increases.There was a statistically significant difference in the distribution of rates of cerebrovascular dysfunction in both men and women by age(P<0.05).(4)Influencing factors of cerebrovascular function: Univariate analysis showed that the distribution of glycemic control status in patients with type 2 diabetes mellitus in this survey was statistically different in different genders and ages,and the correlation between glycemic control status and cerebrovascular function was more obvious in women and patients under 70 years of age.In addition,the differences in age,hypertension,overweight or obesity,hyperuricemia,alcohol consumption,salty diet,body mass index,waist circumference,systolic blood pressure,diastolic blood pressure,fasting blood glucose,and homocysteine in people with abnormal cerebrovascular function were statistically significant compared with the normal population(P<0.05).Multivariate analysis showed that advanced age,poor glycemic control,hypertension,hyperuricemia,and alcohol consumption were independent risk factors for cerebrovascular function(P<0.05).ConclusionThe overall health of patients with type 2 diabetes in this survey is poor,and the detection rate of high-risk stroke is higher.In patients with type 2 diabetes with abnormal cerebrovascular function,special attention needs to be paid to older age,poor glycaemic control,or alcohol consumption,and to patients with hypertension or hyperuricemia.It is of great significance to evaluate the risk of stroke in patients with type 2 diabetes mellitus through cerebrovascular function testing and implement personalized health interventions for risk factors in people with abnormal cerebrovascular function. |
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