浙江中西医结合杂志
浙江中西醫結閤雜誌
절강중서의결합잡지
ZHEJIANG JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE
2001年
2期
74-75
,共2页
2型糖尿病%脂质代谢%胰岛素抵抗%大血管病变
2型糖尿病%脂質代謝%胰島素牴抗%大血管病變
2형당뇨병%지질대사%이도소저항%대혈관병변
Type Ⅱ diabetes Fat metabolism Insulin resistance Greater vascular disease
目的：探讨脂质代谢紊乱、胰岛素抵抗与2型糖尿病大血管病变的关系。方法：测定105例2型糖尿病(包括52例伴大血管病变)患者的空腹血糖、血胰岛素及血脂水平。结果：糖尿病合并大血管病变患者的TC、TG显著增高，而HDL-C显著降低，同时伴高胰岛素血症及明显的胰岛素抵抗。胰岛素敏感指数(IAI)与体重指数TG、TC呈负相关，与HDL-C呈正相关。结论：脂质代谢紊乱及胰岛素抵抗是导致糖尿病大血管病变的危险因素。
目的：探討脂質代謝紊亂、胰島素牴抗與2型糖尿病大血管病變的關繫。方法：測定105例2型糖尿病(包括52例伴大血管病變)患者的空腹血糖、血胰島素及血脂水平。結果：糖尿病閤併大血管病變患者的TC、TG顯著增高，而HDL-C顯著降低，同時伴高胰島素血癥及明顯的胰島素牴抗。胰島素敏感指數(IAI)與體重指數TG、TC呈負相關，與HDL-C呈正相關。結論：脂質代謝紊亂及胰島素牴抗是導緻糖尿病大血管病變的危險因素。
목적：탐토지질대사문란、이도소저항여2형당뇨병대혈관병변적관계。방법：측정105례2형당뇨병(포괄52례반대혈관병변)환자적공복혈당、혈이도소급혈지수평。결과：당뇨병합병대혈관병변환자적TC、TG현저증고，이HDL-C현저강저，동시반고이도소혈증급명현적이도소저항。이도소민감지수(IAI)여체중지수TG、TC정부상관，여HDL-C정정상관。결론：지질대사문란급이도소저항시도치당뇨병대혈관병변적위험인소。
To explore the relationship of fat metabolism and insulin resistance with greater vascular disease in type Ⅱ diabetes cases.Methods：Fasting serum glucose,insulin and fat levels weredetected in 105 type Ⅱ diabetes cases (52 cases had greater vascular disease).Results：The whole cholesterol level and TG were higher in diabetes cases with greater vascular disease than those of without greater vascular disease while the HDL-C was lower and complicated with high serum insulin level and insulin resistance.Negative correlation was observed between IAI,TG and TC.Conclusions：Fat meabolism disorder and insulin resistance were the risk afctors of greater vascular disease in type Ⅱ diabetes cases.
