内皮脂肪酶与2型糖尿病大血管病变的相关性
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浙江省科技厅面上科研社会发展项目资助(2008C30005)


Relationship Between Serum Endothelial Lipase and Macrovascular Complications in Type 2 Diabetes
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    目的探讨2型糖尿病患者血清内皮脂肪酶与糖尿病大血管病变的关系。方法66例2型糖尿病患者根据有无大血管并发症分为大血管病变组(32例)及无大血管病变组(34例),30例健康者为对照组。采用酶联免疫吸附法测定各组血清内皮脂肪酶水平,并进行组间比较。结果大血管病变组血清内皮脂肪酶水平(3.31±1.30 ng/L) 显著高于无大血管病变组(2.54±1.11 ng/L) 和对照组(2.36±0.91 ng/L,p<0.05),无大血管病变组与对照组比较差异无显著性(p>0.05)。相关分析表明2型糖尿病血清内皮脂肪酶与糖化血红蛋白及高敏C反应蛋白呈明显正相关(r分别为0.54和0.59,p<0.01),与高密度脂蛋白呈负相关(r=-0.36,p<0.05)。结论血浆内皮脂肪酶增高可能参与2型糖尿病患者大血管病变的发生、发展。

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    AimTo explore the relationship of serum endothelial lipase and macrovascular complications in type 2 diabetes patients (T2DM).Methods66 patients with type 2 diabetes were divided into macrovascular complications group and no macrovascular complications group.30 cases of healthy persons were used as control group.Fasting serum endothelial lipase levels were measured with enzyme linked immunosorbent assay ( ELISA) and compared between groups.ResultsThe serum endothelial lipase in type 2 diabetes with macrovascular complications (3.31±1.30 ng/L) was significantly higher than that of no macrovascular complications group(2.54±1.11 ng/L) and control group (2.36±0.91 ng/L,p<0.05).No macrovascular complications group had no significant differences from the control group.Related analysis showed that the serum endothelial lipase in type 2 diabetes was positively correlated with glycosylated hemoglobinA1c( HbA1c) and high sensitive C-reactive protein ( hs-CRP), and negatively correlated with high-density lipoprotein (HDL).ConclusionsEndothelial lipase might be involved in the occurrence and development of macrovascular lesions in type 2 diabetes patients.

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陶利花,冯天元,蒋忠华,庄国华,黄成林,王建.内皮脂肪酶与2型糖尿病大血管病变的相关性[J].中国动脉硬化杂志,2012,20(10):915~917.

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  • 收稿日期:2011-11-07
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