胃旁路术治疗2型糖尿病术后糖脂变化

Gastric bypass surgery to treat type 2 diabetes glycolipids postoperative changes

目的分析胃旁路术（GBP）治疗2 型糖尿病（T2DM） 合并血脂异常患者术后血脂变化.方法：19 例T2DM 合并高血脂患者行GBP,分析术前、后空腹血糖（FPG）、糖化血红蛋白（HbA1c）及术后3 月患者血脂变化.结果：术后3 月FPG 有16 例完全正常,不需药物治疗,治愈率达84.2%;HbA1c 与术前比较明显下降（P〈0.05）;术后3 月复查高血脂患者总胆固醇（TC）、甘油三脂（TG）、低密度脂蛋白（LDL-C）均较术前明显下降,高密度脂蛋白（HDL-C）较术前明显升高.结论：GBP 术治疗T2DM 合并高血脂患者疗效肯定,值得临床推广.

objectiveAnalysis of gastric bypass surgery （GBP） for type 2 diabetes mellitus （T2DM） patients blood lipid change postoperatively in patients with dyslipidemia.Methods：19 patients with T2DM combined hyperlipidemia GBP, analysis before and after fasting plasma glucose （FPG）, glycosylated hemoglobin （HbA1c） and postoperative patientsblood lipid changes in March.Results：Postoperative march FPG with 16 cases were completely normal, do not need medication, the cure rate was 84.2%; HbA1c compared withpreoperative significantly decreased （P 〈 0.05）; Postoperative 3 months review hyperlipidemia patients with total cholesterol （TC）, triglycerides （TG）, low density lipoprotein （LDL - C）are compared with preoperative declined obviously, high-density lipoprotein （HDL - C） compared with preoperative elevated obviously.Conclusion：GBP surgery in the treatment ofT2DM combined hyperlipidemia patient curative effect, worth clinical promotion.