血清甘油三酯对初诊妊娠期糖尿病患者胰岛β细胞功能及胰岛素抵抗的影响

来源 :中华医学会第十三次全国内分泌学学术会议 | 被引量 : 0次 | 上传用户:mengpiaoyao
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目的 探讨血清甘油三酯(TG)水平对初诊妊娠期糖尿病(GDM)患者的胰岛β细胞功能及胰岛素抵抗的影响.方法 纳入2012年1月至2014年4月人住于上海交通大学附属第一人民医院产科病房,孕24-30周的439例初诊GDM患者.收集其一般资料、血脂,行75g口服葡萄糖耐量试验和胰岛素释放试验,计算稳态模型评估b细胞功能指数(HOMA-β)、稳态模型评估胰岛素抵抗指数(HOMA-IR)和定量胰岛素敏感性检测指数(QUICKI),并将GDM患者以空腹血清TG水平分成下三分位T1组、中三分位T2组和上三分位T3组,用方差分析比较各组之间的数据.并用逐步多因素线性回归模型分析影响初诊GDM患者HOMA-IR的危险因素.
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