60例肥胖儿童血糖,胰岛素与高血压的关系

目的了解儿童血糖、血胰岛素与高血压的关系。方法对肥胖儿童及正常对照儿童各６０例进行空腹血糖（ＧＳ）、胰岛素（ＩＳ）及高密度脂蛋白（ＨＤＬ）测定，其中各３０例做葡萄糖耐量试验。结果两组儿童空腹ＧＳ、ＨＤＬ及糖负荷后ＧＳ差异无显著性。肥胖组的空腹ＩＳ、糖负荷后ＩＳ、胰岛素曲线下面积及曲线下面积的ＩＳ／ＧＳ均高于对照组，肥胖组有４３例（７１．７％）血压增高。结论肥胖儿童存在高胰岛素血症及胰岛素抵抗。肥胖与高血压关系密切。

Relationship between Blood Glucose, Insulin and Hypertension in 60 Obese Children

Objective To study the relationship between blood glucose, insulin and hypertension in children. Methods Fasting serum glucose (GS), insulin (IS) and high density lipoprotein (HDL) were determined in 60 obese children and 60 normal controls, and oral glucose tolerance test was performed for half of them. Results It showed that there were no significant differences in fasting GS, HDL and GS after glucose load between the two groups, and fasting IS, IS after glucose load, an area and a ratio of IS to GS under the insulin curve all were higher in the obese group than those in the control one. There were 43 obese children (71.7%) with hypertension. Conclusion There existed hyperinsulinemia and insulin resistance in obese children and there also was close relationship between obesity and hypertension in them.