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目的探讨2型糖尿病肥胖型患者血压、血脂、胰岛素水平检测的临床意义。方法 80例2型糖尿病患者,依据患者的体质量指数,将其划分为肥胖组与非肥胖组,各40例。对两组患者的收缩压、血浆空腹胰岛素水平、低密度脂蛋白胆固醇、血甘油三酯、高密度脂蛋白胆固醇、总胆固醇等指标进行比较。结果肥胖组患者收缩压、血浆空腹胰岛素水平、低密度脂蛋白胆固醇、血甘油三酯显著高于非肥胖组,高密度脂蛋白胆固醇显著低于非肥胖组,差异有统计学意义(P<0.05);肥胖组与非肥胖组空腹血糖以及血总胆固醇比较,差异无统计学意义(P>0.05)。结论重视血糖的控制与肥胖症的治疗,控制2型糖尿病患者的各种代谢絮乱,以此降低糖尿病并发症发生率与死亡率,提高患者的生活质量,促进患者的康复。
Objective To investigate the clinical significance of detecting blood pressure, blood lipid and insulin in obese type 2 diabetic patients. Methods 80 patients with type 2 diabetes mellitus were divided into obesity group and non-obesity group according to the body mass index of patients, 40 cases in each group. The systolic blood pressure, fasting plasma insulin, low density lipoprotein cholesterol, triglyceride, high density lipoprotein cholesterol and total cholesterol were compared between the two groups. Results The systolic blood pressure, fasting plasma insulin, low density lipoprotein cholesterol and triglyceride in obese patients were significantly higher than those in non-obese patients, and the levels of high density lipoprotein cholesterol were significantly lower than those in non-obese patients (P <0.05 ). There was no significant difference in fasting blood glucose and blood total cholesterol between obesity group and non-obesity group (P> 0.05). Conclusion The importance of blood sugar control and treatment of obesity, control of type 2 diabetes in patients with a variety of metabolic disorders, in order to reduce the incidence of diabetes complications and mortality, improve patient quality of life and promote patient rehabilitation.