摘要
目的探讨2型糖尿病(T2DM)患者腰臀比(WHR)与临床症状及血糖相关指标的关联性。方法选取2016年1月-2016年10月在某院内分泌科住院诊治的T2DM患者210例作为研究对象。将有三大典型症状的108例为观察组,无典型症状患者102例为对照组,测定其WHR、糖化血红蛋白(HbA1c)、空腹血糖(FBG)和餐后2小时血糖(2h-FBG),按不同性别统计分析测定结果。结果 (1)无论男女,WHR均为有典型症状的观察组显著高于无典型症状的对照组(P<0.05);观察组的WHR与HbA1c、WHR与FBG和WHR与2h-FBG均有良好的正相关(男性r=0.649、0.532和0.516,均为P<0.05;女性r=0.548、0.319和0.338,均为P<0.05),且三者的r值均高于对照组。(2)观察组与对照组WHR均超出正常值,但男性对照组WHR仅与Hb A1c有较好的正相关(P<0.05),女性对照组WHR与三个血糖指标均没有相关性。结论 2型糖尿病患者WHR与临床症状及血糖相关指标有一定关联性,WHR越高患者出现"口干多饮、尿量增多、多食易饥"典型症状的概率越大,其WHR与血糖相关指标也呈现较好的正相关关系。
Objective To explore the relationship between waist to hip ratio （WHR）, clinical symptoms and inde- xes related to plasma glucose in type 2 diabetes mellitus （ DM ） patients. Methods Choose 210 inpatients from January to October in 2016 as research samples. According to the typical symptoms of 210 patients, 108 patients were as control group （46 men, 62 women） , 102 patients were as observation group （51 men, 51 women）. The level of WHR, HbAlc, FBG and 2h - FBG of all samples has been tested by the analyzer. Results ①The level of WHR of observation group all apparently is higher than control group whether male or female samples （ P 〈 0.05 ）. The level of WHR has positive correlation with HbA1 C, FBG,2h - FBG in male members of observation group （ r = 0. 649, 0. 532, 0. 516, P 〈 0. 05 ）. So as female mem- bers of observation group （r =0. 548, 0. 319, 0. 338, P 〈0. 05）. And they were all higher than observation group. ②The level of WHR of observation group and control group are obvious higher than the normal. But the level of WHR of male in ob- servation group only has positive correlation with HbA1C （ P 〈 0. 05 ）. The level of WHR of female in observation group doesn＇t have any correlation with three blood glucose indexes. Conclusion The level of WHR of T2DM patients had some relevance with clinical symptoms and the level of blood glucose indexes. Patients had higher WHR, the chance of having typi- cal clinical symptoms was bigger. T2DM patients with increasing WHR have presented better positive correlation between WHR and correlative blood glucose indexes.
出处
《现代医院》
2017年第2期230-232,共3页
Modern Hospitals
基金
江门市卫生计生局科研立项项目(编号:16A055)
