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糖尿病患者的血清脂蛋白(a)水平
引用本文:方京冲,史虹莉,杨秀芳,俞茂华,朱禧星. 糖尿病患者的血清脂蛋白(a)水平[J]. 复旦学报(医学版), 1996, 0(4)
作者姓名:方京冲  史虹莉  杨秀芳  俞茂华  朱禧星
作者单位:上海医科大学华山医院糖尿病研究室
摘    要:为研究胰岛素依赖型糖尿病(IDDM)和非胰岛素依赖型糖尿病(NIDDM)患者中脂蛋白(a)[Lp(a)]水平的变化,选择18例IDDM患者和76例NIDDM患者用酶联免疫法(ELISA)测定Lp(a),并用20例非糖尿病作对照。结果:IDDM患者的Lp(a)水平与非糖尿病对照无明显差异,NIDDM患者的Lp(a)水平仅有上升的趋势,而其中高胰岛素组患者的Lp(a)水平则明显升高。在两组糖尿病患者中,伴有微量蛋白尿者的Lp(a)水平明显高于无蛋白尿的糖尿病患者和非糖尿病对照者。提示胰岛素水平较高和早期肾脏病变的糖尿病患者可能有较高水平的Lp(a)。

关 键 词:糖尿病,脂蛋白a,早期肾脏病变

LIPOPROTEIN(a)LEVELS IN IDDM PATIENTS
Fang Jingchong, Shi Hongli, Yang Xiufang, Yu Mouhua, Zhu Xixing. LIPOPROTEIN(a)LEVELS IN IDDM PATIENTS[J]. Fudan University Journal of Medical Sciences, 1996, 0(4)
Authors:Fang Jingchong   Shi Hongli   Yang Xiufang   Yu Mouhua   Zhu Xixing
Abstract:PURPOSE To investigate the alteration of lipoprotein(a)levels both in IDDM and NIDDM patients. METHODS 18 cases of IDDM and 76 cases of NIDDM subjects were selected for the measurement of Lp(a),and also 20 non-diabetics as control at the same time.RESULTS It was suggested that no differences could be found among the IDDM,NIDDM and non-diabetic control group. Only did a tendency of elevation of Lp(a)level exist in NIDDM group.The marked increseing of Lp(a)level in NIDDM patients with high-insulin level might be an explanation of this phenomenon. While the Lp(a)level in micro-albuminuria groups were enhanced in both type of diabetes.CONCLUSIONS The Lp(a)level might increased indiabetic patients with high-insulin and early nephropathy.
Keywords:diabetes mellitus  lipoprotein(a)  early diabetic nephropathy  
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