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老年冠心病胰岛素抵抗与脂代谢紊乱
引用本文:许文灿,林建才,詹勇平,林少达,林丹,陈永松. 老年冠心病胰岛素抵抗与脂代谢紊乱[J]. 中国基层医药, 2004, 11(11): 1297-1298
作者姓名:许文灿  林建才  詹勇平  林少达  林丹  陈永松
作者单位:515041,广东汕头,汕头大学医学院第一附属医院内分泌科
摘    要:目的 研究老年冠心病人胰岛素抵抗与血脂变化持点。方法 对 6 8例老年冠心病及 5 0例正常人血脂、血糖及胰岛素水平进行测定 ,观察其变化特点。结果 老年冠心病组总胆固醇、甘油三脂、LDL C、ApoB均高于对照组 (P <0 0 1,P <0 0 5 ) ;HDL C、ApoA均低于对照组 (P <0 0 1) ,差异均有显著意义 ,且胰岛素敏感性降低。结论 老年冠心病不仅存在脂代谢紊乱 ,而且存在胰岛素抵抗

关 键 词:老年冠心病 脂代谢紊乱 胰岛素抵抗 对照组 甘油三脂 胰岛素水平 LDL-C 结论 目的 变化特点
修稿时间:2004-04-06

Insulin resistance and lipid metabolism in the elderly patients with coronary heart disease
XU Wen can,LIN Jian cai,ZHAN Yong ping,et al.. Insulin resistance and lipid metabolism in the elderly patients with coronary heart disease[J]. Chinese Journal of Primary Medicine and Pharmacy, 2004, 11(11): 1297-1298
Authors:XU Wen can  LIN Jian cai  ZHAN Yong ping  et al.
Affiliation:XU Wen can,LIN Jian cai,ZHAN Yong ping,et al.Department of Endocrinology,First Affiliated Hospital,Shantou University Medical College,Guangdong,515041,China
Abstract:Objective To investigate the changes of insulin resistance and blood lipids in the elderly patients with coronary heart disease.Methods The levels of blood lipids,glucose and insulin were measured in control group and the elderly patients with coronary heart disease.The comparison was then made between the two groups.Results Compared with control group,TC,TG,LDL C,ApoB were higher in the elderly patients with coronary heart disease(P<0.01,P<0.05),but HDL C,ApoA and insulin sensitivity index were decreased in the elderly patients with coronary heart disease(P<0.01).Conclusion There were not only dislipidemia but insulin resistance in the elderly patients with coronary heart disease.
Keywords:Coronary heart disease  Insulin resistance  Blood lipids  Elderly patients
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