2型糖尿病并内脏型肥胖患者内脏脂肪面积的分析

目的探讨2型糖尿病（T2DM）并内脏型肥胖患者的临床特点及内脏脂肪面积的相关性分析。 方法本研究收集2018年5月至2018年9月在山西大同大学第一附属医院住院的共350例T2DM患者的临床资料，测量内脏脂肪面积(VFA)和皮下脂肪面积( SFA)，以VFA≥100 cm²作为内脏型肥胖的诊断标准。根据VFA值分为单纯2型糖尿病对照组(VFA<100 cm²)和糖尿病合并内脏型肥胖观察组(VFA≥100 cm²)，测定所有患者的身高、体重、体质量指数（BMI）、腰臀比（WHR）及血糖、血脂、肾功能等指标，比较两组间差异。 结果T2DM并内脏型肥胖组中身高、体重、BMI、头围、颈围、腰围、臀围、WHR、VFA、SFA、甘油三脂（TG）、总胆固醇（TC）、血尿酸（UA）、舒张压均高于对照组（P<0.05），以VFA为应变量，其他各因素为自变量，进行多元线性回归分析：体重、BMI、腰围、TG、舒张压被纳入回归方程，是T2DM并内脏型肥胖的独立危险因素。 结论体重、BMI、腰围、TG、舒张压的增高是VFA的危险因素，与T2DM并腹型肥胖相关。

Analysis of visceral fat area in type 2 diabetes mellitus patients with abdominal obesity

ObjectiveTo explore the clinical characteristics of type 2 diabetes mellitus with visceral abdominal obesity and the correlation analysis of visceral fat area. MethodsThe visceral fat area (VFA) and subcutaneous fat area (SFA) were measured in 350 patients with type 2 diabetes mellitus.VFA (≥100 cm²) was used as the diagnostic criteria for visceral abdominalobesity. According to the VFA, the patients were divided into the control group of type 2 diabetes mellitus (VFA<100 cm²) and the observation group of diabetes mellitus and abdominal obesity (VFA≥100 cm²). The height, weight, body mass index (BMI), and waist-to-hip ratio (WHR) ,blood glucose, total cholesterol (TC), Triglyceride (TG), creatinine (Cr), uric acid (UA) etc were measured. All the indexes were compared between the two groups. ResultsThe height, weight, BMI, head circumference, neck circumference, waist circumference, hip circumference, WHR, VFA, SFA, TG, TC, UA and diastolic pressure in type 2 diabetes mellitus with abdominal obesity group were higher than those in control group (P<0.05). Multiple linear regression analysis was carried out with visceral fat area as strain and other factors as independent variables. The results showed that body weight, BMI, waist circumference, TG and diastolic pressure were included in the regression equation, which was an independent risk factor for type 2 diabetes mellitus with abdominal obesity. ConclusionsIncreased body weight, body mass index, waist circumference, triglyceride and diastolic blood pressureare not onlyrisk factors of VFA, but also related to type 2 diabetes mellitus with abdominal obesity.