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2型糖尿病患者血清低密度脂蛋白免疫复合物的检测及临床意义

Low-density lipoprotein immune complexes in patients with type 2 diabetes
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摘要 采用ELISA法测定102例2型糖尿病(T2DM)患者(其中54例合并大血管病变)、45例大血管病变患者及30例正常对照者的血清低密度脂蛋白免疫复合物(LDL-ICs)浓度。T2DM及大血管病变患者血LDL—ICs浓度均高于正常对照者,糖尿病合并大血管病变者高于单纯糖尿病、单纯大血管病变患者;血清LDL-ICs浓度与体重指数、血糖化血红蛋白、血压、总胆固醇、甘油三酯水平呈正相关,与高密度脂蛋白胆固醇水平呈负相关,与低密度脂蛋白胆固醇水平无相关性。LDL-ICs、血压、糖化血红蛋白是糖尿病大血管病变的危险因素。 This study was designed to observe the clinical value of low-density lipoprotein immune complexes (LDL-ICs) in patients with type 2 diabetes mellitus (T2DM). Fifty-four patients with type 2 diabetes +maeroangiopathy (DM-MA group), 48 patients with type 2 diabetes (DM group), 45 patients with maeroangiopathy (MA group), and 30 normal controls (NC group) were enrolled. LDL-ICs levels in the DM-MA group were significantly higher than those in the other three groups. The levels of LDL-ICs in the MA group were higher than those in the NC and DM groups. There was a significant difference in LDL-ICs between the DM and NC groups. LDL-ICs levels were positively related with body mass index ( BMI), glycosylated hemoglobin Ale(HbAlc), blood pressure, total cholesterol, and triglyceride. There was no significant relationship between low-density lipoprotein cholesterol and LDL-ICs. A significantly negative correlation was recorded between high-density lipoprotein cholesterol and LDL-ICs. Our study suggests that LDL-ICs, blood pressure, and HbAlc may be risk factors of macroangiopathy in type 2 diabetic patients.
出处 《中华全科医师杂志》 2009年第6期407-409,共3页 Chinese Journal of General Practitioners
基金 基金项目:江苏省南通市卫生局项目编号(W0410)
关键词 2型糖尿病 患者 脂蛋白类 LDL Diabetes mellitus, 2 type Lipoproteins,LDL
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参考文献8

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