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糖耐量异常或2型糖尿病患者血清sVCAM-1影响因素探讨
引用本文:赵永才,李新胜,张金成,钱红霞. 糖耐量异常或2型糖尿病患者血清sVCAM-1影响因素探讨[J]. 中国医药导刊, 2011, 13(4): 666-667
作者姓名:赵永才  李新胜  张金成  钱红霞
作者单位:沧州市中心医院内分泌一科,沧州,061001
摘    要:
目的:研究在糖耐量异常(IGT)或2型糖尿病(T2DM)中影响血清可溶性血管细胞黏附分子-1(sVCAM-1)浓度的因素。方法:用酶联免疫吸附法(ELISA)测定30例正常健康人、28例IGT者和35例新诊断T2DM患者的血清sVCAM.1的浓度。结果:IGT组及T2DM组与对照组相比血清sVCAM-1明显升高(P<0.05)。T2DM组的血清sVCAM-1的浓度也显著高于IGT组(P<0.05)。线性相关分析显示,sVCAM-1与体重指数(BMI)、空腹血糖(FPG)、甘油三酯(TG)、糖化血红蛋白(HbA1c)、胰岛素抵抗指数呈正相关,与高密度脂蛋白胆固醇(HDL-C)呈负相关。结论:T2DM患者、IGT患者血清sVCAM-1浓度上升,其浓度改变与高血糖、胰岛素抵抗和肥胖密切相关。

关 键 词:血管细胞黏附分子-1  高血糖  胰岛素抵抗  肥胖  糖尿病

An Investigation on the Factors that Influence the Plasma Concentrations of sVCAM-1 in Patients with Impaired Glucose Tolerance or Type 2 Diabetes Mellitus
Affiliation:Zhao Yong-cai,Li Xin-sheng,Zhang Jin-cheng,et al. (Department of Endocrinology,Cangzhou Central Hospital,Cangzhou 061001,China)
Abstract:
Objective:To investigate the factors that influence the plasma concentrations of soluble VCAM-1 in patients with impaired glucose tolerance(IGT) or type 2 diabetes methods(T2DM).Methods:The evaluated the plasma concentrations of soluble VCAM-1 in three different groups:30 normal cotrols;28 subjects with IGT;35patients with DM.Resnlts:The levels of VCAM-1were higher in DM compared with the other groups.And the levels of VCAM-1 in IGT group were also higher than that in NGTgroup.The VCAM-1 plasma concentrations correlated with the body mass index,triglyceride,high density lipoprotein,fasting plasma glucose,glycosylated hemoglobin and insulin resistance index. Conclusion:Our results suggest that increased VCAM-1 concentrations are related to hyperglycemia,insulin resistance and obesity.
Keywords:sVCAM-1  Hyperglycemia  Insulin resistance  Obesity  Diabetes mellitus
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