疑难病杂志
疑難病雜誌
의난병잡지
Chinese Journal of Difficult and Complicated Cases
2015年
10期
1033-1035,1038
,共4页
痛风%糖代谢紊乱%代谢特征
痛風%糖代謝紊亂%代謝特徵
통풍%당대사문란%대사특정
Gout%Metabolic disorders%Metabolic characteristics
目的:探讨痛风合并糖代谢紊乱患者的代谢特征。方法2013年1月—2014年3月收集痛风患者117例,根据糖代谢情况分为:糖耐量正常组(39例)、糖耐量受损组(44例)、糖尿病组(34例),对3组研究对象的一般资料及相关指标等进行比较分析。结果 BMI、SBP、DBP、TG、TC、LDL-C水平比较:糖耐量正常组<糖耐量受损组<糖尿病组患者( P <0>.05, P <0.01);3组间UA值比较差异无统计学意义( P >0.05)。与糖耐量正常组比较,糖耐量受损组和糖尿病组FPG、HbAIc、2 hPG、FINS、2 hINS、CRP、HOMA-IR水平升高,ISI、HOMA-β值水平均显著降低( P <0.05, P <0.01);糖耐量受损组的FPG、HbAIc、2 hPG、FINS、2 hINS、CRP值显著低于糖尿病组,HOMA-β值显著高于糖尿病组患者( P <0.05)。经过Pearson线性相关性分析,痛风患者血TC、TG、SBP、DBP、LDL-C水平与ISI呈显著负相关( r =-0.228、-0.239、-0.296、-0.273、-0.302, P <0.05),与HDL-C呈显著正相关( r =0.261, P <0.05),与患者的UA水平相关性不明显( r =0.014, P >0.05)。结论痛风合并糖代谢紊乱患者的血脂、血糖、血压等指标与单纯痛风患者比较差异明显,同时随着糖代谢紊乱程度的加重,患者的胰岛素抵抗、胰岛β细胞功能受损逐渐加重。
目的:探討痛風閤併糖代謝紊亂患者的代謝特徵。方法2013年1月—2014年3月收集痛風患者117例,根據糖代謝情況分為:糖耐量正常組(39例)、糖耐量受損組(44例)、糖尿病組(34例),對3組研究對象的一般資料及相關指標等進行比較分析。結果 BMI、SBP、DBP、TG、TC、LDL-C水平比較:糖耐量正常組<糖耐量受損組<糖尿病組患者( P <0>.05, P <0.01);3組間UA值比較差異無統計學意義( P >0.05)。與糖耐量正常組比較,糖耐量受損組和糖尿病組FPG、HbAIc、2 hPG、FINS、2 hINS、CRP、HOMA-IR水平升高,ISI、HOMA-β值水平均顯著降低( P <0.05, P <0.01);糖耐量受損組的FPG、HbAIc、2 hPG、FINS、2 hINS、CRP值顯著低于糖尿病組,HOMA-β值顯著高于糖尿病組患者( P <0.05)。經過Pearson線性相關性分析,痛風患者血TC、TG、SBP、DBP、LDL-C水平與ISI呈顯著負相關( r =-0.228、-0.239、-0.296、-0.273、-0.302, P <0.05),與HDL-C呈顯著正相關( r =0.261, P <0.05),與患者的UA水平相關性不明顯( r =0.014, P >0.05)。結論痛風閤併糖代謝紊亂患者的血脂、血糖、血壓等指標與單純痛風患者比較差異明顯,同時隨著糖代謝紊亂程度的加重,患者的胰島素牴抗、胰島β細胞功能受損逐漸加重。
목적:탐토통풍합병당대사문란환자적대사특정。방법2013년1월—2014년3월수집통풍환자117례,근거당대사정황분위:당내량정상조(39례)、당내량수손조(44례)、당뇨병조(34례),대3조연구대상적일반자료급상관지표등진행비교분석。결과 BMI、SBP、DBP、TG、TC、LDL-C수평비교:당내량정상조<당내량수손조<당뇨병조환자( P <0>.05, P <0.01);3조간UA치비교차이무통계학의의( P >0.05)。여당내량정상조비교,당내량수손조화당뇨병조FPG、HbAIc、2 hPG、FINS、2 hINS、CRP、HOMA-IR수평승고,ISI、HOMA-β치수평균현저강저( P <0.05, P <0.01);당내량수손조적FPG、HbAIc、2 hPG、FINS、2 hINS、CRP치현저저우당뇨병조,HOMA-β치현저고우당뇨병조환자( P <0.05)。경과Pearson선성상관성분석,통풍환자혈TC、TG、SBP、DBP、LDL-C수평여ISI정현저부상관( r =-0.228、-0.239、-0.296、-0.273、-0.302, P <0.05),여HDL-C정현저정상관( r =0.261, P <0.05),여환자적UA수평상관성불명현( r =0.014, P >0.05)。결론통풍합병당대사문란환자적혈지、혈당、혈압등지표여단순통풍환자비교차이명현,동시수착당대사문란정도적가중,환자적이도소저항、이도β세포공능수손축점가중。
Objective To investigate the metabolic characteristics of patients with gout combined with glucose metabo -lism disorders.Methods From January 2013 to March 2014, 117 cases of gout were collected , according to the glucose metabo-lism, they were divided into glucose tolerance normal group (39 cases), glucose tolerance impaired group (44 cases), diabetes group (34 cases), the general information and related indexes of the 3 groups were compared and analyzed .Results Compari-son of BMI, SBP,DBP,TG, TC, LDL-C level:glucose tolerance normal group <glucose tolerance impaired group <group of diabetic patients ( P <0.05, P <0.01);among the 3 groups, UA value’ difference showed no statistical significance ( P >0.05).Glucose tolerance normal group’s FPG, HbA1c, 2hPG, FINS, 2hINS, CRP and HOMA-IR value were lower than the glucose tolerance impaired group and diabetes group , ISI, HOMA-βvalues were higher than glucose tolerance impaired group and diabetes group ( P <0.05, P <0.01);impaired glucose tolerance group’s FPG, HbA1c,2hPG, FINS, 2hINS, CRP value were significantly lower than that of diabetic group ,HOMA-βvalue was significantly higher than that in the diabetic group ( P <0.05).Through the Pearson's linear correlation analysis , gout patients’ blood TC, TG, SBP, DBP, LDL-C levels were signifi-cantly negative correlated with ISI ( r =-0.228, r =-0.239, r =-0.296, r =-0.273, r =-0.302, P <0.05), and sig-nificant positive correlated with HDL-C ( r =0.261, P <0.05), and was not obvious correlated with UA level ( r =0.014, P >0.05).Conclusion The indexes of blood lipid, blood glucose and blood pressure in patients with gout and glucose metab-olism disorder were significantly different from simple gout patients , and increased with the severity of glucose metabolism .