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2型糖尿病患者踝肱指数与胰岛素抵抗的相关性
引用本文:潘颖,胡仁明,朱文华,沈鲜安,钟绍.2型糖尿病患者踝肱指数与胰岛素抵抗的相关性[J].中国医疗前沿,2009(5):13-13,2.
作者姓名:潘颖  胡仁明  朱文华  沈鲜安  钟绍
作者单位:[1]复旦大学附属华山医院内分泌科,上海200040 [2]江苏大学附属昆山市第一人民医院内分泌科,江苏昆山215300
摘    要:目的探讨2型糖尿病患者踝肱指数(ABI)与胰岛素抵抗之间的关系。方法根据糖化血红蛋白的水平把72例糖尿病患者分成DM1组和DM2组,与35例对照组ABI、空腹血糖(FBG)、糖化血红蛋白(HbA1C)、空腹血清胰岛素、胰岛素抵抗指数(HOMA-IR)进行对照,并对ABI和HOMA-IR进行相关性分析。结果2型糖尿病患者的ABI值与FBG(r=-0.43,P〈0.05)、HbA1C(r=-0.52,P〈0.01)和HOMA-IR(r=-0.48,P〈0.05)呈显著负相关。结论2型糖尿病患者的ABI值与血糖控制程度和胰岛素抵抗密切相关。

关 键 词:糖尿病  2型  胰岛素抵抗  踝肱指数

Relationship between ankle-brachial index and insulin resistance in patients with type 2 diabetes mellitus
Institution:PAN Ying, HU Ren-ming, ZHU Wen-hua (1.Department of Endocrinology, Huashan Hospital of Fudan University, Shanghai 200040, China, 2 .Department of Endocrinology, The first Kunshan Hospital of Jiangsu University, Kunshan Jiangsu 215300, China)
Abstract:Objective To study the relationship between lower extremity arterial disease and insulin resistance in patients with type 2 diabetes mellitus. Methods 72 diabetic patients were divided into DM1 group and DM2 group according to HbA1C. ABI,FBG,HbA1C,F-INS and HOMA-IR were measured on 72 subjects with type 2 diabetes and 35 control subjects. Correlation analysis was conducted between ABI and HOMA-IR. Results ABI had negative relation with FBG (r =-0.43, P〈0.05 ) ,HbA1C (r =-0.52, P〈0.01 ) ,HOMA-IR ( r = -0.48, P〈0.05 ). Conclusion The changes of ABI in type 2 diabetes mellitus were in close relationship with the level of blood sugar and insulin resistance.
Keywords:Diabetes mellitus  type 2  Peripheral arterial disease  Insulin resistance
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