Volume 42 Issue 11
Nov.  2021
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Lin ZHANG, Yan-ying LI, Qi MENG, Can-hui LI, Yun SHEN, Hong-yan BI, Qiu-ping YANG, Yue XIONG. Correlation of Platelet Function,Coagulation and Fibrinolytic System Function in Elderly Patients with Type 2 Diabetes[J]. Journal of Kunming Medical University, 2021, 42(11): 62-67. doi: 10.12259/j.issn.2095-610X.S20211110
Citation: Lin ZHANG, Yan-ying LI, Qi MENG, Can-hui LI, Yun SHEN, Hong-yan BI, Qiu-ping YANG, Yue XIONG. Correlation of Platelet Function,Coagulation and Fibrinolytic System Function in Elderly Patients with Type 2 Diabetes[J]. Journal of Kunming Medical University, 2021, 42(11): 62-67. doi: 10.12259/j.issn.2095-610X.S20211110

Correlation of Platelet Function,Coagulation and Fibrinolytic System Function in Elderly Patients with Type 2 Diabetes

doi: 10.12259/j.issn.2095-610X.S20211110
  • Received Date: 2021-09-26
    Available Online: 2021-11-15
  • Publish Date: 2021-11-30
  •   Objective  To investigate the platelet function, coagulation function and fibrinolytic system in elderly patients with type 2 diabetes.   Methods  193 patients were divided into type 2 diabetes group (group DM, 97 cases) and control group (group NC, 96 cases) according to WHO standard diagnostic criteria.The gender, age, duration of diabetes, smoking history, SBP, DBP, BMI, FPG, 2 h PG, HbA1c, FC, TC, TG, ACT, PF, and aggregation polymer were collected and compared among the patients. Pearson correlation analysis and multiple linear regression analysis were performed on the related factors of PF and D-2 polymer.   Results  (1) The levels of BMI, D-2 polymer and ACT in the DM group were higher than those in the control group (P < 0.05). (2) Pearson correlation analysis: The value of D-2 aggregate was positively correlated with age, BMI, and duration of diabetes (P < 0.05), and positively correlated with the percentage of glycosylated hemoglobin (P < 0.01). PF had significant negative correlation with the levels of 2 h postprandial insulin and C peptide (P < 0.05), and more significant positive correlation with fasting blood glucose (P < 0.01). (3) Multiple linear regression analysis: age and percentage of glycosylated hemoglobin were positively correlated with D-2 polymer (P < 0.05). There was a positive correlation between fasting blood glucose and PF, and a negative correlation between insulin and PF at 2 hours after meal (P < 0.05).   Conclusion  There are abnormal platelet function, coagulation function and fibrous function system in elderly patients with type 2 diabetes mellitus, high state of blood glucose and poor function of isolated islets may be the main reasons.
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