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C肽与2型糖尿病视网膜病变的相关性
引用本文:叶晓梅,王晓薇,金海英,曹含弘,王萍. C肽与2型糖尿病视网膜病变的相关性[J]. 江苏医药, 2012, 38(3): 298-299
作者姓名:叶晓梅  王晓薇  金海英  曹含弘  王萍
作者单位:叶晓梅 (复旦大学附属中山医院青浦分院内分泌病科, 上海市,201700) ; 王晓薇 (复旦大学附属中山医院青浦分院内分泌病科, 上海市,201700) ; 金海英 (复旦大学附属中山医院青浦分院内分泌病科, 上海市,201700) ; 曹含弘 (复旦大学附属中山医院青浦分院内分泌病科, 上海市,201700) ; 王萍 (复旦大学附属中山医院青浦分院内分泌病科, 上海市,201700) ;
摘    要:目的探讨2型糖尿病(T2DM)患者C肽与糖尿病视网膜病变(DR)的相关性。方法T2DM患者150例分为有DR(A组,56例)和无DR(B组,94例)两组,比较两组空腹C肽、餐后2-hC肽,并对DR的危险因素作Logistic回归分析。结果 A组空腹C肽和餐后2-h C肽均低于B组(P<0.05或P<0.01)。餐后2-h C肽是DR发生的重要影响因素。结论合并DR的T2DM患者餐后2-h C肽降低是DR发生的危险因素。

关 键 词:C肽  糖尿病视网膜病变  T2DM

Relationship between C-peptide and diabetic retinopathy in patients with type 2 diabetes
Affiliation:YE Xiaomei,WANG Xiaowei,JIN Haiying,et al.Affiliated Zhongshan Hospital Qingpu Branch,Fudan University,Shanghai 201700,CHINA
Abstract:Objective To explore the relationship between C-peptide and diabetic retinopathy(DR) in patients with type 2 diabetes mellitus(T2DM).Methods A total of 150 T2DM patients was devided into groups of A(with DR,56 cases) and B(without DR,94 cases).The concentrations of fasting serum C-peptide and post-meal 2-hour serum C-peptide were compared between two groups.The risk factors for DR were analyzed.Results The levels of fasting serum C-peptide and post-meal 2-hour serum C-peptide were lower in group A than those in group B(P<0.05 or P<0.01).Post-meal 2-hour serum C-peptide was an important effective factor for DR.Conclusion A decrease of post-meal 2-hour serum C-peptide is a risk factor for DR in T2DM patients.
Keywords:C-peptide  Diabetic retinopathy  Type 2 diabetes mellitus
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