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老年前列腺癌去势治疗对血清脂联素及胰岛素抵抗的影响
引用本文:周 萍,富 路,王秋军,等. 老年前列腺癌去势治疗对血清脂联素及胰岛素抵抗的影响[J]. 中华老年多器官疾病杂志, 2011, 10(5): 408-411. DOI: 10.3724/SP.J.1264.2011.00033
作者姓名:周 萍  富 路  王秋军  
作者单位:1. 哈尔滨医科大学附属第二医院老年病科,哈尔滨,150086
2. 哈尔滨医科大学附属第一医院心内三科,哈尔滨,150001
摘    要:目的探讨内源性睾酮缺失对血清脂联素(Adip)及胰岛素抵抗(IR)的影响。方法观察32例老年前列腺癌睾丸全切患者与30例前列腺次全切或全切以及30例正常对照组患者的空腹血糖(FPG)、胰岛素(ISN)和C肽、血清Adip以及IR指数(HOMA-IR)和胰岛素敏感指数(QUICKI)。结果去势组Adip水平较正常对照组明显降低[(1.43±0.79)vs(2.38±0.77)mg/L,P〈0.05],HOMA-IR明显高于正常对照组[(1.75±4.84)vs(1.10±3.45),P〈0.01];总睾酮与ISN(r=-0.17,P=0.043)、C肽(r=-0.249,P=0.32)和HOMA-IR(r=-0.781,P〈0.01)呈负相关,与Adip水平(r=0.819,P〈0.01)和QUICK(r=0.420,P=0.026)呈正相关。结论内源性睾酮缺乏可能通过对IR及Adip水平的影响参与调节男性心血管疾病的发生发展。

关 键 词:前列腺癌  去势  脂联素  胰岛素抵抗

Effects of castration on serum Adiponectin level and insulin resistance in patients with prostate carcinoma
ZHOU Ping,FU Lu,WANG Qiujun,et al. Effects of castration on serum Adiponectin level and insulin resistance in patients with prostate carcinoma[J]. Chinese Journal of Multiple Organ Diseases in the Elderly, 2011, 10(5): 408-411. DOI: 10.3724/SP.J.1264.2011.00033
Authors:ZHOU Ping  FU Lu  WANG Qiujun  et al
Affiliation:ZHOU Ping~(1*),FU Lu~2,WANG Qiujun~1,MENG Jia~1,ZHU Xiuying~1 (1 Department of Geriatrics,Second Affiliated Hospital,Harbin Medical University,Harbin 150086,China,2 Department of Cardiology,First Affiliated Hospital,Harbin 150001,China)
Abstract:Objective To determine the effects of testosterone deprivation therapy on Adiponectin(Adip) level and insulin resistance (1R) in patients with prostate cancer.Methods The levels of fasting plasma glucose(FPG),insulin(lSN),C-peptide(CP),total testosterone(TT).free testosterone(FT),Adip.insulin resistance(HOMA-IR) and quantitative insulin-sensitivity check index(QUICKI) were measured in 32 patients with prostatic carcinoma under castration(CAS group),30 patients with prostate hypertrophy under total or subtot...
Keywords:prostatic carcinoma  castration  Adiponectin  insulin resistance  
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