口服葡萄糖耐量试验在高甘油三酯血症的应用

Applicative value of oral glucose tolerance test in hypertriglyceridemia

目的探讨高甘油三酯血症与糖尿病(diabetes mellitus,DM)、糖耐量异常(impared glucosetolerance,IGT)的关系。方法确诊高甘油三酯血症患者158例进行口服葡萄糖耐量试验(oral glucose tolerance test,OGTT),测定空腹血糖(fasting plasma glucose,FPG)及OGTT中2 h血浆葡萄糖(2 hour plasma glucose,2HPG)。结果通过OGTT确诊DM 33例(20.89%)I、GT 58例(36.71%),男、女患者相比无明显差别,DM患者血甘油三酯(triglyceride,TG)水平高于OGTT正常患者,差异有统计学意义(P<0.05)。结论心血管疾病患者合并有高甘油三酯血症时推荐进行OGTT。

Objective To study the relation of hypertriglyceridemia, diabetes mellitus and impared gloucose tolerance. Methods One hundred and fifty-eight cases diagnosed as hypertriglyceridemia underwent oral glucose tolerance test. Related data were analyzed. Results Thirty-three cases（20.89% ）, were diagnosed as diabetes meUitus by OGTT; fifty-eight cases（36.71% ）were diagnosed as impared gloucose tolerance （IGT）; triglyceride level of diabetes mellitus sufferers was lower than that in OGTT normal subjects, the difference being significant （P 〈 0.05）. Conclusion Cardiovascular disease sufferers with hypertriglyceridemia are recommended to proceed OGTT.