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高血压与胰岛素抵抗及血清瘦素水平相关性的研究
引用本文:施有为,殷丽琼,周跟东,付敏敏,程鹏,李迎霞. 高血压与胰岛素抵抗及血清瘦素水平相关性的研究[J]. 安徽医学, 2008, 29(2): 152-154
作者姓名:施有为  殷丽琼  周跟东  付敏敏  程鹏  李迎霞
作者单位:合肥市第一人民医院心内科,230061;台肥市第一人民医院核医学科
摘    要:目的 研究高血压与胰岛素抵抗及瘦素水平的相关性。方法 高血压患者120例,其中男性70例、女性50例,平均年龄63.5±9.6岁。对照组60例,其中男性40例、女性20例,平均年龄63.1±10.2岁。空腹采集静脉血标本,测定血糖、血脂、胰岛素及瘦素水平。测定和计算体重指数、腹围与脂肪百分比及胰岛素抵抗指数。结果 高血压组与对照组比较,血清甘油三酯、腹围、脂肪百分比、HOMA-IR、胰岛素和瘦素水平明显高于对照组,差异有显著性。Lo-gistic回归分析,瘦素和HOMA-IR是高血压的独立危险因子。结论 高血压与胰岛素抵抗及瘦素水平呈显著相关性。

关 键 词:高血压  胰岛素抵抗  瘦素
修稿时间:2007-10-23

The relationship between hypertension and insulin resistance and serum leptin
Shi Youwei. The relationship between hypertension and insulin resistance and serum leptin[J]. Anhui Medical Journal, 2008, 29(2): 152-154
Authors:Shi Youwei
Affiliation:Shi Youwei, Yin Liqiong, Zhou Gengdong, et al( Department of Cardiology , Hefei First People's Hospital , Hefei 230061)
Abstract:Objective To investigate the relationship between hypertension and insulin resistance and serum leptin.Methods 120 patient with hypertension and 60 normal controls were recruited in this study.The fasting serum sugar,lipids,insulin and leptin were detected respectively.Body high,weight and waist circumference were measured,and their body mass index(BMI)and fat percent and HOMA-IR were calculated.Results There were obviously higher level of triglyceride,waist circumference,fat percent,Insulin,leptin and HOMA-IR in hypertensive group than those in control group.Logistic regression analysis revealed that Insulin resistance and serum leptin level are independent risk factors for hypertension.Conclusion Hypertension is positively correlation with insulin resistance and leptin.
Keywords:Hypertension  Insulin resistance  Leptin  
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