摘要
目的:探讨妊娠糖尿病患者(GDM)空腹抵抗素水平与胰岛素抵抗(IR)的关系。方法:检测54例GDM者和50例正常血糖(NBG)孕妇的血清空腹抵抗素水平,同时以稳态模型HOMA-IR计算胰岛素抵抗指数。结果:GDM组抵抗素水平和HOMA-IR指数高于NBG组,差异具有统计学意义(P<0.05);GDM组多元线性逐步回归分析结果显示,孕前体质指数(BMI)和腹围(WC)、孕期抵抗素是IR的独立危险因素。结论:GDM者血清抵抗素水平高于NBG者,抵抗素升高与IR密切相关。
Oective:To analyze the correlation of serum resistin level and insulin resistance(IR)in patients with gestational diabetes mellitus(GDM).Methods:The fasting serum level of resistin was examined in 54 GDM and 50 normal blood glucose pregnant women(NBG).The insulin resistance index(HOMA-IR)was calculated.Results:The fasting serum resistin level and HOMA-IR of GDM were higher than NBG(P〈0.05).A multiple linear stepwise regression analysis indicated that progestation body mass index(BMI)and waist circumference,resistin of pregnancy were independent factors affecting HOMA-IR.Conclusion:Fasting serum resistin level of GDM was higher than NBG,resistin level was strongly correlated with resistin in GDM.
关键词
妊娠糖尿病
抵抗素
胰岛素抵抗
Gestational diabetes
Resistin
Insulin resistance