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肝硬化患者血清瘦素水平变化及相关因素分析
引用本文:郑吉敏,姜慧卿,李芳,康喜荣,吕晓萍. 肝硬化患者血清瘦素水平变化及相关因素分析[J]. 山东医药, 2008, 48(40): 10-11
作者姓名:郑吉敏  姜慧卿  李芳  康喜荣  吕晓萍
作者单位:河北省人民医院,河北石家庄,050051;河北医科大学第二医院
基金项目:河北省卫生厅科研项目  
摘    要:目的 探讨瘦素在肝硬化发生、发展中的作用.方法 对44例肝硬化患者(肝硬化组)和17例健康查体者(正常对照组)进行血清瘦素、空腹血糖(FPG)、胰岛素(FINS)水平测定并分析相关因素.结果 肝硬化组血清瘦素水平显著高于对照组(P<0.01),肝功能Child-pugh B、C级者显著多于A级(P<0.05);血清瘦素水平与FINS、FPG、胰岛素敏感指数(ISI)呈显著正相关,FINS是瘦素的显著预测因子.结论 肝硬化患者瘦素水平显著升高;其可能通过胰岛素抵抗诱发肝性糖尿病.

关 键 词:肝硬化  瘦素  胰岛素抵抗

Relationship with insulin resistance in liver cirrhosis patients
ZHENG Ji-min,JIANG Hui-qing,LI Fang,KANG Xi-rong,LV Xiao-ping. Relationship with insulin resistance in liver cirrhosis patients[J]. Shandong Medical Journal, 2008, 48(40): 10-11
Authors:ZHENG Ji-min  JIANG Hui-qing  LI Fang  KANG Xi-rong  LV Xiao-ping
Affiliation:1 The People's Hospital of Hebei Province;Shijiazhuang 050051;P.R.China
Abstract:Objective To determine leptin levels and its relationship with insulin resistance.Method The study comprised 44 patients with liver cirrhosis and 17 control subjects.Leptin,insulin and fasting plasma glucose concentration were determined.Child-pugh classification was obtained in all patients.Results Leptin was significantly elevated in liver cirrhosis patients compared with healthy controls(P<0.01);Correlation analysis showed that leptin correlated with insulin(P<0.01),ISI(P<0.05);Insulin is the most import...
Keywords:cirrhosis  leptin  insulin resistance  
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