CAJ | 학술논문

目的探讨体重指数与初诊2型糖尿病患者代谢状态及慢性并发症的关系.方法选取2010年1月至2011年12月我院初诊2型糖尿病患者82例作为研究对象.根据体重指数的不同将所有患者随机分为两组,每组各41例.分析比较两组患者空腹血糖及餐后血糖、血脂、血压、抵抗指数及并发症患病率.结果肥胖组的TC、TG、LDL和UA均大于正常组,而HDL低于正常组,两组在以上几个指标间的差异均具有显著性(P＜0.05).肥胖组视网膜病变、冠心病、高血压、神经病变和肾脏病变的发生率均高于正常组,其中两组在冠心病、高血压和肾脏病变的差异有显著性(P＜0.05).结论肥胖的初诊2型糖尿病患者更易发生代谢紊乱和并发慢性并发症,故对肥胖的患者要指导其合理饮食、适当运动,以延缓或避免糖尿病并发症的发生.
목적 탐토체중지수여초진2형당뇨병환자대사상태급만성병발증적관계.방법 선취2010년1월지2011년12월아원초진2형당뇨병환자82례작위연구대상.근거체중지수적불동장소유환자수궤분위량조,매조각41례.분석비교량조환자공복혈당급찬후혈당、혈지、혈압、저항지수급병발증환병솔.결과 비반조적TC、TG、LDL화UA균대우정상조,이HDL저우정상조,량조재이상궤개지표간적차이균구유현저성(P＜0.05).비반조시망막병변、관심병、고혈압、신경병변화신장병변적발생솔균고우정상조,기중량조재관심병、고혈압화신장병변적차이유현저성(P＜0.05).결론 비반적초진2형당뇨병환자경역발생대사문란화병발만성병발증,고대비반적환자요지도기합리음식、괄당운동,이연완혹피면당뇨병병발증적발생.
Objective To investigate the relations among body mass index (BMI) with metabolic status and chronic complications in newly diagnosed type 2 diabetic patients.Methods 82 type 2 diabetes patients treated in our hospital from January 2010 to December 2011 were enrolled as the research objects.All patients were randomly divided into two groups according to the different BMI,41 cases in each group.Then we analyzed and compared the fasting blood-glucose and postprandial blood sugar,blood fat,blood pressure,resistance index and complication rates of two groups.Results The TC,TG,LDL and UA of the obesity group were higher than those of the normal group,and HDL was lower than that of the normal group,the difference between the two groups were statistically significant (P＜0.05).The retinopathy,coronary heart disease,high blood pressure,neuropathy and kidney disease incidence of obesity group were higher than those in the normal group,coronary heart disease,hypertension and kidney between the two groups were statistically significant (P＜0.05).Conclusions Obesity in newly diagnosed type 2 diabetes patients was more susceptible to metabolic disorders and concurrent chronic complications.So more diet and exercise guidings were needed to the obese patients,to delay or prevent diabetescomplications.