中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2008年
6期
29-30
,共2页
腹型肥胖%腹腔镜%直肠癌%胰岛素抵抗
腹型肥胖%腹腔鏡%直腸癌%胰島素牴抗
복형비반%복강경%직장암%이도소저항
Abdominal obesity%Laparoseopic%Rectal cancer%Insulin resistance
目的 观察腹型肥胖直肠癌患者术后胰岛素抵抗的特点及腹腔镜手术对术后胰岛素抵抗的影响.方法 随机选择择期手术的直肠癌患者62例为研究对象,测量术前腰围、术后第1天空腹血糖和胰岛素.稳态模式评估法计算胰岛素抵抗指数.结果 腹型肥胖患者术后胰岛素抵抗指数高于非腹型肥胖患者,腹腔镜组患者胰岛素抵抗指数低于开腹组.结论 腹型肥胖直肠癌患者术后易发生代谢紊乱,腹腔镜手术能够降低术后胰岛素抵抗程度.
目的 觀察腹型肥胖直腸癌患者術後胰島素牴抗的特點及腹腔鏡手術對術後胰島素牴抗的影響.方法 隨機選擇擇期手術的直腸癌患者62例為研究對象,測量術前腰圍、術後第1天空腹血糖和胰島素.穩態模式評估法計算胰島素牴抗指數.結果 腹型肥胖患者術後胰島素牴抗指數高于非腹型肥胖患者,腹腔鏡組患者胰島素牴抗指數低于開腹組.結論 腹型肥胖直腸癌患者術後易髮生代謝紊亂,腹腔鏡手術能夠降低術後胰島素牴抗程度.
목적 관찰복형비반직장암환자술후이도소저항적특점급복강경수술대술후이도소저항적영향.방법 수궤선택택기수술적직장암환자62례위연구대상,측량술전요위、술후제1천공복혈당화이도소.은태모식평고법계산이도소저항지수.결과 복형비반환자술후이도소저항지수고우비복형비반환자,복강경조환자이도소저항지수저우개복조.결론 복형비반직장암환자술후역발생대사문란,복강경수술능구강저술후이도소저항정도.
Objective To observe the features of insulin resistance(IR) on postoperative rectal cancer patients with abdominal obesity and the influence of laparoseopic surgery on insulin resistance. Methods 62 patients with rectal cancer selected randomly were invited to participate. Waist circumference was performed preoperatively ,fasting blood glucose (FBG) and fasting insulin (FINS) were assayed on the 1 st day postoperatively. Insulin resistance was evaluated by the method of homeostasis model assessment (HOMA). Results InHO-MA-IR of patients with abdominal obesity was higher than that of patients with no abdominal obesity. InHOMA-IR of patients undergoing laparoscopie surgery was lower than that of patients undergoing laparotomy. Conclusion Metabolic disorder occurs more easily in rectal cancer patients with abdominal obesity postoperatively, laparoscopic surgery can degrade the degree of insulin resistance.
