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2型糖尿病患者护骨素与内皮依赖性血管舒张功能的关系

Relationship between plasma osteoprotegerin and endothelium-dependent arterial dilation in type 2 diabetic patients

目的 探讨2型糖尿病患者护骨素与内皮依赖性血管舒张功能(EDAD)的关系.方法 选择40例新诊断的2型糖尿病患者和46名健康个体.2型糖尿病患者采用胰岛素治疗6个月.血浆护骨素采用ELISA法测定.采用高分辨血管外超声法检测肱动脉血流介导的EDAD和硝酸甘油介导的内皮非依赖性血管舒张功能.结果 2型糖尿病患者治疗前血浆护骨素为(3.44±0.52)ng/L,明显高于对照组(2.38±0.25)ng/L(P<0.01),治疗6个月后血浆护骨素水平明显降低(2.61±0.55)ng/L(P<0.01).2型糖尿病患者治疗前EDAD为(3.19±0.52)%,明显低于对照组的(4.46±0.56)%(P<0.01),治疗6个月后明显改善(4.18±0.48)%(P<0.01).多元相关分析显示,治疗前血浆护骨素与EDAD、空腹血糖(FPG)、HbA1C、超敏C反应蛋白(CRP)相关(均P<0.01).治疗前后护骨素的变化与EDAD、FPG、HbA1C、CRP的变化相关(P<0.01).结论 新诊断的2型糖尿病患者血浆护骨素水平明显增高,血浆护骨素与血管内皮功能相关.

作 者:
向光大 孙慧伶 赵林双 徐琳 XIANG Guang-da SUN Hui-ling ZHAO Lin-shuang XU Ling  
作者单位:
430070,武汉,广州军区武汉总医院内分泌科 
刊 名:
中华内分泌代谢杂志  ISTIC PKU
英文刊名:
CHINESE JOURNAL OF ENDOCRINOLOGY AND METABOLISM 
年,卷(期):
2007 23(3) 
分类号:
R6 
关键词:
护骨素 知识脉络  血管内皮功能 知识脉络  糖尿病,2型 知识脉络 
机标分类号:
R58 R97 
机标关键词:
糖尿病患者护骨素内皮依赖性型糖尿病患者治疗血浆血管舒张功能新诊断多元相关分析对照组胰岛素治疗超声法检测血流介导血管内皮硝酸甘油空腹血糖功能相关非依赖性反应蛋白肱动脉 
基金项目:
 
DOI:
 
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