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妊娠糖尿病患者血清瘦素水平与胰岛素抵抗的关系
引用本文:阚瑛,阚珣,赵焱. 妊娠糖尿病患者血清瘦素水平与胰岛素抵抗的关系[J]. 中国实用医药, 2013, 0(30): 12-13
作者姓名:阚瑛  阚珣  赵焱
作者单位:[1]吉林省人民医院内分泌科,长春130021 [2]吉林大学第二医院妇产科 ,长春130021 [3]吉林省人民医院急诊内科,长春130021
摘    要:目的 探讨妊娠期糖尿病(GDM)患者血清瘦素(leptin)水平与胰岛素抵抗的关系.方法 选择26例GDM患者为观察组,32例糖耐量正常的健康妊娠妇女(NGT)为对照组,两组均行75 g葡萄糖耐量试验(OGTT),同时测定空腹血浆胰岛素(FINS)和血清瘦素(leptin)水平,计算胰岛素抵抗指数(HOMA-IR),并应用pearson分析妊娠期糖尿病患者胰岛素抵抗与瘦素、空腹胰岛素、体重指数(BMI)的关系.结果 GDM组血清瘦素(leptin)、胰岛素(FINS)及胰岛素抵抗指数均明显高于NGT组(P<0.05或P<0.01);血清瘦素、FINS、BMI与HOMA-IR呈正相关(P<0.01).结论 瘦素是影响妊娠期糖尿病患者胰岛素抵抗的独立危险因子.

关 键 词:妊娠糖尿病  血清瘦素  胰岛素抵抗

Relationship between insulin resistance and leptin in patients with gestational diabetes mellitus
KAN Ying,KAN Xun,Zhao Yan. Relationship between insulin resistance and leptin in patients with gestational diabetes mellitus[J]. China Practical Medical, 2013, 0(30): 12-13
Authors:KAN Ying  KAN Xun  Zhao Yan
Affiliation:1. Department of Endocrinology, People's Hospital of Jilin Province, Changchun 130021,China;2. Department of Gyrecology and Obstetrics, Scecond Hospital of Jilin University;3.Department of Emergency, Peoples Hospital of Jilin Province, Changchtm l 3OO21,China)
Abstract:Objective To investigate the relationship between insulin resistance and leptin in patients with gestationaI diabetesmellitus (GDM). Methods The oral glucose tolerance test (OG33") . leptin and FINS were determined in 26 GDM and 32 NGT. Calculate the insulin resistance index (HOMA-IR). Pearson correlation analysiswas used. Results Leptin. FINS and HOMA-IR were significantly higher in the GDM patients than those in NGT. Pearson correlation analysis indicated that HOMA-IR was positively correlated with leptin. FINS. BML Conclusion Leptin level is the independent risk fctors for insulin resistance of GDM.
Keywords:Diabetes  Gestational, leptin,  Insulin resistance
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