[1]肖 维,郑 曦.妊娠糖尿病患者血清基质细胞衍生因子-1α和C反应蛋白水平与胰岛素抵抗的相关性[J].新乡医学院学报,2016,33(12):1088-1090.[doi:10.7683/xxyxyxb.2016.12.019]
 XIAO Wei,ZHENG Xi.Relationship between the levels of serum stromal cell derived factor-1α,C-reactive protein and insulin resistance in patients with gestational diabetes mellitus[J].Journal of Xinxiang Medical University,2016,33(12):1088-1090.[doi:10.7683/xxyxyxb.2016.12.019]
点击复制

妊娠糖尿病患者血清基质细胞衍生因子-1α和C反应蛋白水平与胰岛素抵抗的相关性
分享到:

《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
33
期数:
2016年12
页码:
1088-1090
栏目:
临床研究
出版日期:
2016-12-05

文章信息/Info

Title:
Relationship between the levels of serum stromal cell derived factor-1α,C-reactive protein and insulin resistance in patients with gestational diabetes mellitus
作者:
肖 维郑 曦
(咸宁市中心医院 湖北科技学院附属第一医院检验科,湖北 咸宁 437100)
Author(s):
XIAO WeiZHENG Xi
(Department of Clinical Laboratory,Xianning Central Hospital,the First Affiliated Hospital of Hubei University of Science and Technology,Xianning 437100,Hubei Province,China)
关键词:
妊娠糖尿病基质细胞衍生因子-1αC反应蛋白胰岛素抵抗血糖
Keywords:
gestational diabetesstromal cell derived factor-1αC-reactive proteininsulin resistanceblood glucose
分类号:
R587.1
DOI:
10.7683/xxyxyxb.2016.12.019
文献标志码:
A
摘要:
目的 探讨妊娠糖尿病(GDM)患者血清中基质细胞衍生因子-1α(SDF-1α)和C反应蛋白(CRP)水平与胰岛素抵抗(IR)的相关性。方法 选择2012年1月至2015年5月咸宁市中心医院收治的GDM患者60例为GDM组,另选取口服葡萄糖耐量试验正常的健康孕妇60例为对照组,比较2组孕妇血清中SDF-1α、CRP、空腹胰岛素(FINS)、空腹血糖(FBG)、三酰甘油(TG)、总胆固醇(TC)、糖化血红蛋白A1c(HbA1c)水平,计算胰岛素抵抗指数(IRI)。结果 GDM组孕妇血清SDF-1α、CRP、FINS、FBG、HbA1c水平及IRI显著高于对照组(P<0.01),但2组孕妇血清TG、TC水平比较差异无统计学意义(P>0.05)。GDM患者血清SDF-1α与CRP水平呈正相关(P<0.01)。GDM患者血清SDF-1α、CRP水平均与FINS、FBG、HbA1c水平及IRI呈正相关(P<0.01,P<0.05),但与TG、TC水平无显著相关性(P>0.05)。结论 SDF-1α和CRP可能参与了GDM的发生和发展。
Abstract:
Objective To investigate the relationship between the levels of serum stromal cell derived factor-1α(SDF-1α),C-reactive protein(CRP)and insulin resistance(IR)in patients with gestational diabetes mellitus(GDM).Methods Sixty patients with GDM in Xianning Central Hospital from January 2012 to May 2015 were selected as GDM group,and another 60 cases of normal healthy pregnant women were selected as control group.The levels of serum SDF-1α,CRP,fasting insulin(FINS),fasting blood glucose(FBG),triglyeride(TG),total cholesterol(TC),glycosylated hemoglobin A1c(HbA1c)were compared between the two groups,and the insulin resistance index(IRI)was calculated.Results The levels of serum SDF-1α,CRP,FINS,FBG,HbA1c and IRI in GDM group were significantly higher than those in control group(P<0.01).But there was no significant difference in the levels of TG and TC between the two groups(P>0.05).The serum SDF-1α level was positively correlated to CRP level in GDM patients(P<0.01).The levels of serum SDF-1α,CRP were positively correlated to FINS,FBG,HbA1c and IRI in GDM patients(P<0.01,P<0.05).But there was no significant correlation between serum SDF-1α,CRP and TG,TC(P>0.05).Conclusion SDF-1 and CRP may be involved in the occurrence and development of GDM.

参考文献/References:

[1] 吉金萍,张元元,王天成,等.妊娠期糖尿病对妊娠结局及新生儿的影响[J].新乡医学院学报,2015,32(12):1101-1102,1105.
[2] LANDON M B,MELE L,SPONG C Y,et al.The relationship between maternal glycemia and perinatal outcome[J].Obstet Gynecol,2011,117(2 Pt 1):218-224.
[3] 赵雪春,黄海波.妊娠糖尿病与胰岛素抵抗相关性的研究进展[J].山西医药杂志,2013,42(9):1015-1017.
[4] 高峻,郭玲.妊娠糖尿病脂联素、炎性因子与胰岛素抵抗关系临床研究[J].海南医学院学报,2014,20(4):525-527.
[5] 杨生.妊娠糖尿病患者C-反应蛋白及脂联素水平变化与胰岛素抵抗相关性的研究[J].中国现代医学杂志,2011,21(23):2938-2941.
[6] 张彦平,陈雅静,赵英剑.妊娠糖尿病患者血清脂肪细胞型脂肪酸结合蛋白与胰岛素抵抗的关系探讨[J].中西医结合心脑血管病杂志,2012,8(10):1009-1010.
[7] 王惠琴,丁慧青.超敏C反应蛋白和可溶性细胞间黏附分子-1与慢性妊娠糖尿病患者胰岛素抵抗的关系[J].中国慢性病预防与控制,2014,22(2):230-231.
[8] 冯尤健,张莹.妊娠糖尿病患者血清同型半胱氨酸、胱抑素C、CRP水平的变化与意义[J].中外医学研究,2014,12(2):49-50.
[9] 李鹏程,王国军,胡燕华,等.SDF-1和CXCR4在鼠角膜碱烧伤新生血管中的表达[J].眼科新进展,2010,30(9):832-836.
[10] 谢君辉,陈晓斌,李宇君,等.基质细胞趋化因子-1α与2型糖尿病和胰岛素抵抗相关性研究[J].华中科技大学学报(医学版),2009,38(1):113-115.
[11] 张淑芳,于易,田晓蕾,等.妊娠糖尿病患者血清脂联素水平变化及其与炎症因子胰岛素抵抗的关系[J].河北医学,2015,21(2):272-275.
[12] 林安华,雷闽湘,张朝云,等.基质细胞衍生因子-1α对牛视网膜血管内皮细胞CXCR-4和VEGF表达的影响[J].眼科新进展,2009,29(11):821-824.
[13] 李佳霖,褚建平,钮雁文,等.妊娠糖尿病代谢特征与产后糖代谢异常关系分析[J].浙江医学,2011,33 (10):1456-1458,1462.

更新日期/Last Update: 2016-12-05