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中老年糖尿病肾病血清载脂蛋白水平分析
引用本文:龙兆丰,屈国云.中老年糖尿病肾病血清载脂蛋白水平分析[J].中南大学学报(医学版),1995(5).
作者姓名:龙兆丰  屈国云
作者单位:Long Zhaofeng; Qu Guoyunepartment of Geriatrics,The Second Affiliated Hospital,Hunan Medical University
摘    要:检测20例中老年糖尿病肾病(DN)病人血清载脂蛋白及血脂的变化。结果显示:DN病人的HDL,ApoA1,ApoA2和ApoA1/ApoB100值明显降低,而TG,TC,ApoB100和ApoC2增高;糖尿病无肾病(DM)患者的ApoA1和ApoA1/ApoB100值下降,而TG,TC无明显改变。提示糖尿病肾病存在严重的脂代谢紊乱,以ApoA1,ApoA1/ApoB100值的降低最为明显。故考虑该二值可作为糖尿病肾病有参考价值的预测指标。

关 键 词:糖尿病  非胰岛素依赖型  糖尿病性肾病  脱辅基脂蛋白A类  脱辅基脂蛋白B类  脱辅基脂蛋白C类  胆甾醇类

ANALYSIS OF SERUM APOLIPOPROTEIN PROFILE IN MIDDLE-AGED AND OLD-AGED PATIENTS WITH DIABETIC NEPHROPATHY
Long Zhaofeng, Qu Guoyunepartment of Geriatrics,The Second Affiliated Hospital,Hunan Medical University.ANALYSIS OF SERUM APOLIPOPROTEIN PROFILE IN MIDDLE-AGED AND OLD-AGED PATIENTS WITH DIABETIC NEPHROPATHY[J].Journal of Central South University (Medical Sciences)Journal of Central South University (Medical Sciences),1995(5).
Authors:Long Zhaofeng  Qu Guoyunepartment of Geriatrics  The Second Affiliated Hospital  Hunan Medical University
Abstract:The profile of serum apolipoprotein and lipids was studied in 20 patients with nonin-sulin-dependent diabetics complicated nephropathy(DN Group).Compared with the con-trols,serum concentrations of ApoA1,ApoA2,HDL and rate of APA1/ApoB100 were signifi-cantly decreased,the levels of ApoB100, ApoC2,total cholesterol(TC)and trigly-cerides(TG)were significantly increased in DN Group.ApoA1, ApoA1,ApoA1/ApoB100 were de-creased significantly in noninsulin-dependent diabetes mellitus(DM Group),but the levelsof TG,TC not changed.The results indicate that the changes of serum apolipoprotein aremore sensitive than those of TC and TG. It is suggested that the ApoA1 level and the rate ofApoA1/ApoB100 may be the valuable indexes to predict diabetic nephropathy.
Keywords:diabetes mellitus  non-insulin-dependent  diabetic      nephropathies  apolipoproteins A  apolipoproteins B  apolipoproteins    C  blood  ketocholesterols  aged
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