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胰岛素抵抗与脂代谢异常在HDCP发病中的作用及相关性
引用本文:江洪,谭华云,刘学云,董素芹. 胰岛素抵抗与脂代谢异常在HDCP发病中的作用及相关性[J]. 中国妇幼保健, 2011, 26(26): 4097-4099
作者姓名:江洪  谭华云  刘学云  董素芹
作者单位:山东省潍坊市人民医院产一科 261042
摘    要:
目的:研究胰岛素抵抗与脂代谢异常在妊娠期高血压疾病(HDCP)发病中的作用及相关性。方法:以62例HDCP患者为研究对象,并以同期正常孕妇32例为对照组。检测两组空腹血糖(FBG)、胰岛素(FINS)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)、载脂蛋白A-1(apoA-1)、载脂蛋白B(apoB)的含量,以HOMA指数为胰岛素抵抗指标,分析以上各指标在两组孕妇中的差异及其相关性。结果:HDCP组与正常妊娠组相比,其HOMA指数、TG、LDL、apoB显著升高,且随病情的加重逐渐升高;HDL、apoA-1显著降低,且随病情加重而逐渐降低。HOMA指数与脂代谢各指标间具有显著相关性。结论:HDCP患者存在胰岛素抵抗与脂代谢异常,并且两者具有相关性。

关 键 词:妊娠期高血压疾病  胰岛素抵抗  脂代谢

Correlation between insulin resistance and abnormal lipid metabolism in patients with hypertensive disorder complicating pregnancy (HDCP)
JIANG Hong,TAN Hua-Yun,LIU Xue-Yun,et al.. Correlation between insulin resistance and abnormal lipid metabolism in patients with hypertensive disorder complicating pregnancy (HDCP)[J]. Maternal and Child Health Care of China, 2011, 26(26): 4097-4099
Authors:JIANG Hong  TAN Hua-Yun  LIU Xue-Yun  et al.
Affiliation:JIANG Hong,TAN Hua-Yun,LIU Xue-Yun,et al.Obstetrical Department,People's Hospital of Weifang,Weifang 261042,Shandong,China
Abstract:
Objective:To investigate the correlation between insulin resistance and abnormal lipid metabolism in patients with hypertensive disorder complicating pregnancy(HDCP). Methods:62 patients with HDCP and 32 normal pregnant women as controls were enrolled in this study.Serum concentration of fasting blood glucose(FBG),fasting insulin(FINS),total cholesterol(TC),triglyceride(TG),high density lipoprotein(HDL),low density lipoprotein(LDL),apolipoproteinA-1(apoA-1),and apolipoprotein B(apoB) were measured.Insulin r...
Keywords:Hypertensive disorder complicating pregnancy(HDCP)  Insulin resistance  Lipid metabolism  
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