摘要
目的分析与研究肥胖的2型糖尿病患者血压血脂胰岛素水平。方法对80例2型糖尿病患者的临床资料进行回顾性分析,80例患者在采血之前均未应用胰岛素进行治疗,均应用降糖药对血糖进行控制,且肝功能、肾功能正常,无其他疾病。依据80例患者的体质量,将其划分为肥胖组与非肥胖组,各40例,对2组患者的收缩压、血浆空腹胰岛素水平、低密度脂蛋白胆固醇、血甘油三酯、高密度脂蛋白胆固醇、果糖胺空腹血糖、总胆固醇等指标进行比较。结果肥胖组患者收缩压、血浆空腹胰岛素水平、低密度脂蛋白胆固醇、血甘油三酯显著高于非肥胖组,高密度脂蛋白胆固醇显著低于非肥胖组,差异有统计学意义(P<0.05);肥胖组与非肥胖组果糖胺、舒张压、空腹血糖以及血总胆固醇差异无统计学意义。结论治疗2型糖尿病患者,要重视血糖的控制与肥胖症的治疗,控制2型糖尿病患者的各种代谢絮乱,以此降低糖尿病并发症发生率与死亡率,提高患者的生活质量,促进患者的康复。
Objective To analyze and study of obese patients with type 2 diabetes blood lipid insulin level. Methods Clinical data of 80 patients with type 2 diabetes mellitus to were analyzed retrospectively, 80 patients did not use insulin treatment before blood, all the application medications to control blood sugar, and liver function, rena l function is normal, no other diseases. According to the weight, 80 patients were be divided into obese group and non-obese group, each had 40 cases the systolic blood pressure, fasting plasma insulin levels, low-density lipoprotein cholesterol, triglyceride, high density lipoprotein cholesterol, fructosamine and fasting glucose, total cholesterol and other indicators of the two groups patients were compare.Results Blood pressure, fasting plasma insulin levels, low density lipoprotein cholesterol, blood triglycerides in obese group were significantly higher than those in the non-obese group, high density lipoprotein cholesterol was significantly lower than that in the non-obese group, the differences between the two groups had statistical significance(P<0.05); fructosamine, fasting blood sugar and blood total cholesterol in obese group and control group had no significant difference. Conclusion In the treatment of patients with type 2 diabetes, not only should we attach importance to the control of blood sugar, but also attach importance to the treatment of obesity, reasonable control of patients with type 2 diabetes metabolism flocculant, is helpful to reduce the incidence of diabetes complications and mortality rate, improve patient's quality of life, promote the recovery of patients.
出处
《当代医学》
2015年第16期29-30,共2页
Contemporary Medicine
关键词
肥胖
2型糖尿病
血压
血脂
胰岛素
Obesity
Type 2 diabetes
Blood pressure
Blood lipid
Insulin
