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急性冠状动脉综合征与胰岛素抵抗的关系探讨
引用本文:彭朝权,陈璘,刘金来,赵长林.急性冠状动脉综合征与胰岛素抵抗的关系探讨[J].中国现代医学杂志,2005,15(6):878-879,882.
作者姓名:彭朝权  陈璘  刘金来  赵长林
作者单位:中山大学附属第三医院,心内科,广东,广州,510630
摘    要:目的探讨急性冠状动脉综合征(ACS)与胰岛素抵抗(IR)的关系。方法分别测定ACS、稳定性心绞痛(UA)和正常对照组的空腹和餐后2h的血糖(BG)、胰岛素(IS)和C肽(CP)释放试验,并计算IS/BG和CP/BG,各组之间进行比较。结果ACS组和UA组空腹和餐后2h的IS、IS/BG和CP/BG均明显高于正常对照组(P<0.05 ̄0.01),ACS组空腹和餐后2h的IS、IS/BG和CP/BG均明显高于SA组(P<0.05)。结论ACS存在IR,且随着病情加重,IR更明显。

关 键 词:急性冠状动脉综合征  胰岛素抵抗  血糖
文章编号:1005-8982(2005)06-0878-02

Relationship between acute coronary artery syndrome and insulin resistance
PENG Chao-quan,CHEN Lin,LIU Jin-lai,ZHAO Chang-lin.Relationship between acute coronary artery syndrome and insulin resistance[J].China Journal of Modern Medicine,2005,15(6):878-879,882.
Authors:PENG Chao-quan  CHEN Lin  LIU Jin-lai  ZHAO Chang-lin
Abstract:To evaluate relationship acute coronary artery syndrome (ACS ) with insulin resistance (IR) in the patients. Blood glucose (GB) and insulin (IS) and c-peptide in fasting and 2 hours postcibum were detected in patients with ACS and stable angina (SA) and control (CO). IS/BG and CP/BG were counted. IS, IS/BG and CP/BG in fasting and 2 hours postcibum in patients with ACS and SA were much higher than those of control (P <0.05~0.01). IS, IS/BG and CP/BG in fasting and 2 hours postcibum in patients with ACS were much higher than those of SA (P <0.05). Conclusion] There is IR in patients with ACS, and the more severe ACS is, the more obvious IR is.
Keywords:acute coronary artery syndrome  insulin resistance  blood glucose
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