摘要
目的探讨冠心病(CHD)患者的胰岛素抵抗与肿瘤坏死因子(TNF-α)的关系。方法选择冠心病患者 48例,对照组28例,分别应用氧化酶法、放免法和酶联免疫法测定其空腹及餐后2小时血糖,血清胰岛素(INS)及 TNF-α值,计算胰岛素敏感性指数。结果冠心病组存在高胰岛素血症及胰岛素抵抗,并且血清ISI水平与TNF-α呈显负相关。结论胰岛素抵抗程度与TNF-α水平升高密切相关。二者相互影响、相互促进、共同参与冠心病的发生与发展过程。
Objective: To study the relationship between insulin resistance and TNF-α in coronary heart disease (CHD). Methods: Blood-glucose, serum insulin level and TNF-α were measured in 48 CHD cases and 28 healthy controls by oxidase method, RIA and ELISA respectively. Insulin sensitivity index (ISI) was also calculated. Results: CHD patients showed insulin resistance and hyperinsulinemia, and the ISI was negatively correlated with TNF-α. Conclusion: The degree of insulin resistance correlates with high TNF-α level. Interaction between hyperinsulinemia and TNF-α may be involved in the development of CHD.
出处
《泰山医学院学报》
CAS
2005年第5期431-432,共2页
Journal of Taishan Medical College
关键词
冠心病
胰岛素抵抗
肿瘤坏死因子
coronary heart disease
Insulin resistance
tumor necrosis factor-α