腹内脂肪的超声定量检测及其临床价值  

Ultrasonography-determined visceral fat and its clinical significance

作　　者：魏斌[1] 赵志钢[1] 田志强[1] 倪银星[1] 陈静[1] 祝之明[1] 

机构地区：[1]第三军医大学大坪医院高血压内分泌科,重庆400042

出　　处：《重庆医学》2006年第9期787-788,793,共3页Chongqing medicine

摘　　要：目的 应用超声测量内脏脂肪，并评价其临床意义。方法 324例研究对象（16～84岁），分析超声测量脂肪值与腰围、腰臀比、体重指数（BMI）及体脂含量之间的相关性，以超声测量腹部脂肪厚度分为肥胖组和非肥胖组，比较两组之间血压、血脂、HOMA指数等指标。结果 超声测量腹部脂肪厚度与BMI和腰围有显著相关性（P〈0．001），肥胖组空腹胰岛素水平显著升高，高密度脂蛋白水平显著降低。此外，肥胖组男性舒张压较高，而女性甘油三酯水平、HOMA指数显著升高。结论 B超可作为定量检测腹内脂肪可靠的、实用的方法，腹内脂肪增加与心血管危险因素有一定联系。Objective To analyze the feasibility of using uhrasonography（US） to assess visceral fat. Methods In our research, 324 cases with hypertension or disturbance of glucose and lipids were included. The correlation between US-determined visceral fat and waist circumference,waist-hip ratio, BMI and fat.~/0 were analyzed. All the cases were divided into obesity and non-obesity group according to US-determined visceral fat. The blood pressure ,lipids and HOMA-IR of the two grups were compared. Results BMI and waist circumference showed the best correlation coefficients with US-determined visceral fat（P〈0. 001）. Fasting insulin of the obesity group were significantly higher than that of non-obesity group. HDL-C of the obesity group were significantly lower than non-obesity group. Diastolic pressure of the male in obesity group were significantly higher than in non-obesity group. TG, HOMA-IR of the female in obesity group were significantly higher than in non-obesity group. Conclusion US seems to be the best alternative method for the assessment of intra-abdominal fat. The increasing of visceral fat has relation with cardiovascular risk factors.

关 键 词：腰围 超声 腹部脂肪 

分 类 号：R589.2[医药卫生—内分泌] R445.1[医药卫生—内科学]