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糖尿病患者肥胖及胰岛素抵抗与血浆同型半胱氨酸的关系
引用本文:王庭俊,王中心,杨芳,陈纯娴.糖尿病患者肥胖及胰岛素抵抗与血浆同型半胱氨酸的关系[J].齐齐哈尔医学院学报,2010,31(2):180-181.
作者姓名:王庭俊  王中心  杨芳  陈纯娴
作者单位:福建医科大学附属第一医院干部科,350005
摘    要:目的 探讨2型糖尿病患者肥胖、胰岛素抵抗与血浆同型半胱氨酸的关系.方法 1)120例2型糖尿病分为肥胖组与非肥胖组,比较两组间的Hcy和胰岛素抵抗指数(HOMA-IR)的差别.2)2型糖尿病分为高Hcy和正常Hcy组,比较两组的血糖、血脂、血压、血肌酐、胰岛素和糖基化血红蛋白,体重指数(BMI)及HOMA-IR的差别.3)多元逐步回归分析Hcy的影响因素.结果 1)肥胖组的Hcy、HOMA-IR高于非肥胖组(P<0.01).2)高Hcy与正常Hcy的病程(P<0.01)、空腹血糖(P<0.05)、糖基化血红蛋白(P<0.05)、血肌酐(P<0.01)、总胆固醇(P<0.05)、高密度脂蛋白胆固醇(P<0.05)、BMI(P<0.01)、空腹胰岛素(P<0.01)及HOMA-IR(P<0.01)差别有统计学意义.3)血浆Hcy与HOMA-IR、BMI、病程、胰岛素、肌酐独立相关.结论 肥胖与胰岛素抵抗与2型糖尿病患者的Hcy'密切相关.

关 键 词:2型糖尿病  肥胖  胰岛素抵抗  同型半胱氨酸

The relationship between obesity.insulin resistance and serum homocysteince (Hcy) level in patients with type 2 diabetes mellitus
WANG Ting-jun,et al..The relationship between obesity.insulin resistance and serum homocysteince (Hcy) level in patients with type 2 diabetes mellitus[J].Journal of Qiqihar Medical College,2010,31(2):180-181.
Authors:WANG Ting-jun  
Institution:WANG Ting-jun,et al.(Department of VIP,the First Affiliated Hospital of Fujian Medical University,Fuzhou,Fujian 350005 P.R.China)
Abstract:Objective To investigate the relationship between obesity.insulin resistance and serum homocysteince level in patients with type 2 diabetes. Methods(1)120 patients with type 2 diabetes mellitus were divided to obesity group and non-obesity group,compared the level of homocysteince and insulin resistance index(HOMA-IR).(2) 120 patients with type 2 diabetes were divided to high Hcy group and normal Hcy group,compared the difference of the level of blood glucose,lipids,blood pressure,serum creatinine,insulin a...
Keywords:Diabete mellitus Obesity Insulin resistance Homocysteince  
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