中华内科杂志
中華內科雜誌
중화내과잡지
CHINESE JOURNAL OF INTERNAL MEDICINE
2008年
5期
397-400
,共4页
曾文衡%何晓雯%沈洁%谷卫
曾文衡%何曉雯%瀋潔%穀衛
증문형%하효문%침길%곡위
糖尿病,2型%胃排空%动态血糖监测
糖尿病,2型%胃排空%動態血糖鑑測
당뇨병,2형%위배공%동태혈당감측
Diabetes mellitus,type 2%Gastric emptying%Continuous glucose monitoring system
目的 探讨2型糖尿病合并胃轻瘫患者的动态血糖特征.方法 对31例2型糖尿病患者以核素扫描评估胃排空,并以7例正常糖调节者作对照;所有入组对象在平衡饮食状态下用动态血糖监测系统(CGMS)进行72 h血糖监测.结果 31例2型糖尿病患者中胃轻瘫占58.1%.胃轻瘫组和非胃轻瘫组在早餐后2 h平均血糖值[(7.82 4-1.42)mmol/L比(9.35 4±2.28)mmol/L]、早餐后血糖最高值[(10.21±2.17)mmol/L比(12.24±2.82 mmol/L)]和2 h平均血糖曲线下面积[(877.62±272.78)min·mmol·L-1比(1028.40±283.98)min·mmol·L-1],差异具有统计学意义(P<0.05).结论 2型糖尿病胃轻瘫患者胃排空延迟可能有助于降低餐后平均血糖.
目的 探討2型糖尿病閤併胃輕癱患者的動態血糖特徵.方法 對31例2型糖尿病患者以覈素掃描評估胃排空,併以7例正常糖調節者作對照;所有入組對象在平衡飲食狀態下用動態血糖鑑測繫統(CGMS)進行72 h血糖鑑測.結果 31例2型糖尿病患者中胃輕癱佔58.1%.胃輕癱組和非胃輕癱組在早餐後2 h平均血糖值[(7.82 4-1.42)mmol/L比(9.35 4±2.28)mmol/L]、早餐後血糖最高值[(10.21±2.17)mmol/L比(12.24±2.82 mmol/L)]和2 h平均血糖麯線下麵積[(877.62±272.78)min·mmol·L-1比(1028.40±283.98)min·mmol·L-1],差異具有統計學意義(P<0.05).結論 2型糖尿病胃輕癱患者胃排空延遲可能有助于降低餐後平均血糖.
목적 탐토2형당뇨병합병위경탄환자적동태혈당특정.방법 대31례2형당뇨병환자이핵소소묘평고위배공,병이7례정상당조절자작대조;소유입조대상재평형음식상태하용동태혈당감측계통(CGMS)진행72 h혈당감측.결과 31례2형당뇨병환자중위경탄점58.1%.위경탄조화비위경탄조재조찬후2 h평균혈당치[(7.82 4-1.42)mmol/L비(9.35 4±2.28)mmol/L]、조찬후혈당최고치[(10.21±2.17)mmol/L비(12.24±2.82 mmol/L)]화2 h평균혈당곡선하면적[(877.62±272.78)min·mmol·L-1비(1028.40±283.98)min·mmol·L-1],차이구유통계학의의(P<0.05).결론 2형당뇨병위경탄환자위배공연지가능유조우강저찬후평균혈당.
Objective To observe the glucose profile in type 2 diabetic gastroparesis.Methods 31 patients diagnosed with type 2 diabetes were enrolled into this study for measurement of gastric emptying of solids and continuous glucose monitoring to observe blood glucose 1evels for 72 hours on a balanced diet;the results were compared with 7 subjects with norinal glucose regulation.Results 58.1%of 31 type 2 diabetic patients were found to have delayed gastric emptying of solids.The average glucose level was lower after breakfast[(7.82±1.42)mmol/L vs(9.35±2.28)mmol/L,P<0.01]in the patients with gastroparesis than in those without.Maximal blood glucose level after breakfast[(10.21±2.17)mmol/L vs (12.24±2.82)mmol/L,P<0.01]was lower in the patients with gastroparesis but it reached the peak at a similar time.Two hour AUC was also lower after breakfast in the patients with gastroparesis[(877.62±Post-prandial glucose levelin type 2 diabetic patients with gastroparesis tends to be lower than those without.
