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脂联素对2型糖尿病患者心血管并发症的影响
引用本文:滕顺文,韦燕,张绍峰,苏珂,龙艳,荀靖琼.脂联素对2型糖尿病患者心血管并发症的影响[J].华夏医学,2011,24(4):417-419.
作者姓名:滕顺文  韦燕  张绍峰  苏珂  龙艳  荀靖琼
作者单位:1. 桂林医学院2007级检验本科,广西桂林,541001
2. 桂林医学院2007级医学本科,广西桂林,541001
3. 桂林医学院附属医院内分泌科,广西桂林,541001
基金项目:广西壮族自治区科技厅科学基金资助项目,桂林医学院项目驱动教学法专项课题
摘    要:目的:探讨2型糖尿病患者血清脂联素水平与大血管病变的关系。方法:将所选2型糖尿病患者分为单纯2型糖尿病组(B组)和2型糖尿病合并心脑血管病变组(C组),以健康体检者为对照组(A组),对各组脂联素、颈动脉内膜中层厚度(CIMT)等指标进行统计学分析。结果:B和C组脂联素水平均低于A组(P〈0.05),C组最低(P〈0.01);脂联素与CIMT呈负相关(P〈0.01)。结论:血清脂联素水平降低是2型糖尿病患者心血管并发症的主要危险因子,参与2型糖尿病大血管病变的发生和发展过程。

关 键 词:2型糖尿病  脂联素  大血管病变

Effects of adiponectin on type 2 diabetic patients with cardiovascular complications
Institution:TENG Shun-wen,WEI Yan,ZHANG Shao-feng,et al.a.Grade 2007 Laboratory Medicine Undergraduate;b.Grade 2007 Clinical Medicine Undergraduate;c.Dept.of Endocrinology,Guilin Medical University,Guilin 541004,China
Abstract:Objective: To explore the relationship between serum adiponectin level and macrovascular disease in patients with type 2 diabetes mellitus.Methods: The patients with type 2 diabetes were divided into type 2 diabetes mellitus group(group B) and type 2 diabetes complicated with cerebrovascular lesion group(group C),and the healthy subjects served as control(group A).For each of the groups,the adiponectin levels and carotid artery intima-media thickness(CIMT) were detected and statistically analyzed.Results: Serum adiponectin levels of group B and C were lower than that of group A(P0.05),group C was lowest adiponectin level(P0.01).The adiponectin level was negatively correlated with CIMT(P0.01).Conclusions: Decreased serum adiponectin level is the major risk factor for type 2 diabetic patients to be complicated by cardiovascular diseases,and participates in the type 2 diabetic macrovascular disease development and occurrence.
Keywords:type 2 diabetes  adiponectin  macrovascular disease
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