胰岛素释放试验在心脑血管病中的应用分析

目的：探讨胰岛素释放试验（IRT）在冠心病、高血压、脑梗死等心脑血管病中的应用价值。方法：选取在本院住院的228例心脑血管病患者为观察组（包括冠心病、高血压、脑梗死3个小组）,选取同期健康者168例为对照组。对两组患者进行胰岛素释放试验,并比较两组差异。结果：空腹血糖两组比较差异有统计学意义（P〈0.05）;餐后2h、餐后3h糖耐量浓度比较,差异有显著统计学意义（P〈0.01）;空腹、餐后2h、餐后3h胰岛素水平比较,差异均有统计学意义（P〈0.05）。胰岛素敏感指数比较,差异有统计学意义（P〈0.01）;空腹、餐后1h、餐后2h、餐后3hC-肽浓度比较,差异有统计学意义（P〈0.01）。结论：胰岛素释放试验可作为监测冠心病、高血压、脑梗死等心脑血管病的重要指标。

Application analysis of insulin release test in cardiovascular diseases

Objective：To investigate the value of insulin release test（IRT） applied in coronary heart disease,hypertension,cerebral infarction and other cardiovascular diseases.Methods：228 cardiovascular patients in our hospital was selected as observation group（including coronary heart disease,hypertension,cerebral infarction 3 groups）,selected the same period 168 healthy people as control group.Two groups of patients on insulin release test,and compared the results.Results：The fasting blood glucose difference between the 4 groups was statistically significant（P0.05）,Postprandial 2 h,3 h postprandial glucose concentrations compaired,the difference was significant（P0.01）,insulin levels of fasting,postprandial 2 h,postprandial 3 h compaired,the difference was significant（P0.05）.The difference of insulin sensitivity index was statistically significant（P0.01）;fasting,postprandial 1 h,postprandial 2 h,postprandial 3 h C-peptide levels compaired,the difference was statistically significant（P0.01）.Conclusion：Insulin release test can be used for monitoring coronary heart disease,hypertension,cerebral infarction and other important indicators of cardiovascular diseases.