摘要
目的：探讨噻唑烷二酮类药物对2型糖尿病患者血管内皮功能影响。方法从收治的2型糖尿病患者中采用随机抽取方法抽取50例作为研究对象，对50例患者噻唑烷二酮类代表药物吡格列酮应用情况进行分析，治疗前后测量患者空腹血糖（FBG）、餐后2h 血糖（2hFBG）、总胆固醇（TC）、高密度脂蛋白胆固醇（HDL-C）、低密度脂蛋白胆固醇（LDL-C）、三酰甘油（TG）、空腹胰岛素、炎性因子、糖化血红蛋白以及血管细胞黏附因子等指标。结果患者在接受治疗后的 FBG、2hFBG、糖化血红蛋白（HbA1c）、空腹胰岛素以及胰岛素抵抗指数（HOMA-IR）均明显下降，各项指标与治疗前差异均有统计学意义（均 P ＜0．05）；患者治疗前后BMI 差异无统计学意义（t ＝0．8219，P ＞0．05）。患者治疗后 TG、LDL-C 较治疗前明显下降（均 P ＜0．05）；治疗后 TC 较治疗前无明显变化（P ＞0．05）；治疗后 HDL-C 较治疗前有所下降，但差异无统计学意义（t ＝2．1908，P ＞0．05）。患者治疗后 C 反应蛋白、纤溶酶原激活物抑制物-1以及肿瘤坏死因子α较治疗前有明显下降（P ＜0．05）；治疗后脂联素水平较治疗前显著提高（P ＜0．05）。结论噻唑烷二酮类药物可以有效改善2型糖尿病患者血管内皮功能，并对预防患者并发心血管病有积极的作用。
Objective To study the effect of thiazolidinediones on vascular endothelial function in patients with type 2 diabetes mellitus.Methods 50 patients with type 2 diabetes were randomly selected as the research objects,the representative drug pioglitazone application situation for 50 patients were measured before and after the treatment,fasting blood glucose,postprandial 2h blood glucose,total cholesterol,high density lipoprotein cholesterol, low density lipoprotein,total cholesterol,triglyceride,fasting insulin,glycosylated protein and inflammatory factors in red vascular cell adhesion factor were detected.Results the patients after treatment of endothelium dependent vaso-dilatation function improved,compared with those before treatment （P 〈0.05）,fasting blood glucose,patients after the treatment of 2h after meal blood glucose.Conclusion The two thiazolidinediones can effectively improve type 2 diabetes vascular endothelial function,and have a positive effect on the prevention of patients with cardiovascular dis-ease.
出处
《中国基层医药》
CAS
2015年第12期1840-1842,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
糖尿病
2型
血管内皮功能
噻唑烷二酮类药
Diabetes,Type 2
Vascular endothelial function
Thiazolidine two ketones medicine
