血清IGF-1、IGFBP-1、GH水平与糖尿病慢性并发症关系的研究  

A study on the relationship between diabetes chronic complications and the levels of serum IGF-1, IGFBP-1 and GH

作　　者：吴东红[1] 刘岳鸿[1] 卢韬[1] 赵环宇[1] 史秀琴[1] 程瑶[1] 

机构地区：[1]哈尔滨市第一医院内分泌科,邮政编码150010

出　　处：《中国糖尿病杂志》2001年第4期205-206,共2页Chinese Journal of Diabetes

摘　　要：目的　揭示胰岛素样生长因子－ｌ、胰岛素样生长因子结合蛋白－１、生长激素对糖尿病慢性并发症的发生、发展的影响。方法测定２０例健康对照者和６２例２型糖尿病、１０例１型糖尿病患者的胰岛素样生长因子－１（ＩＧＦ－ｌ）、胰岛素样生长因子结合蛋白－１（ＩＧＦＢＰ－１）、生长激素（ＧＨ）及血浆胰岛素（ＩＮＳ）、Ｃ肽（Ｃ－Ｐ）、糖化血红蛋白（ＨｂＡＩＣ）指标。结果 ①ＩＧＦ－１水平，１型糖尿病患者显著低于对照组（Ｐ＜０．０５），２型糖尿病患者显著低于对照组（Ｐ＜０．０５）；②ＩＧＦＢＰ－１水平，１型糖尿病患者显著高于对照组（Ｐ＜０．０５），２型糖尿病肥胖型伴高胰岛素血症者显著低于对照组（Ｐ＜０．０５）；③ＧＨ水平，１型糖尿病患者显著高于对照组（Ｐ〈０．０５），２型糖尿病与对照组无显著差异（Ｐ＞０．０５）；④合并糖尿病肾病及视网膜病变患者ＩＧＦ－１水平均较对照组增高（Ｐ＜０．０５）；⑤ＩＧＦ－１水平与ＨｂＡｌｃ间呈负相关（Ｐ＜０．０１２型ｒ＝－０．６２１型ｒ＝－０．７３）。结论ＩＧＦ－ｌ、ＩＧＦＢＰ－ｌ、ＧＨ水平的检测对糖尿病慢性并发症，特别是微血管病变的发生、发展有重要的临床意义。Objective To explore the effects of insulin-like growth factor-l (IGF-l),insulin-like growth factor binding protein-1 (IGFBP-1) and growth hormone (GH) on the generation, development and treatment of diabetes chronic complications. Methods 20 healthy controls,10 type 1 diabetes mellitus patients and 62 type 2 diabetes mellitus patients were enrolled into the study. IGF-1, IGFBP-1, GH, HbAlc. serum insulin (INS) and serum C-peptide (C-P) were measured. Results ①Serum level of IGF-1 was obviously lower in the diabetes mellitus group than that in controls (type 1 P＜0. 05,type 2 P＜0. 05). ②Serum level of IGFBP-1 was significantly higher in type I diabetes mellitus than that in controls (P＜0. 05),and it was obviously lower in type 2 diabetes mellitus with obesity and hyperinsulinism than that in contris (P＜0. 05). ③Serum level of GH was higher in type 1 diabetes mellitus than that in controls (P＜0. 05 ) and was not significantly different from that in controls (P＞0. 05). ④The level of IGF-l was higher in diabetes nephropathy (DN) patients and diabetes retinopathy (DR) patients than that in controls (P＜0. 05). ⑤The level of IGF1 was negatively correlated with HbAlc (P＜0. 01, type 1r=- 0.73, type 2r=-0. 62). Conclusion Measurement of IGF-1, IGFBP-1 and GH may play an important role in diabetes chronic complications,especially in the generation,development of diabetic microvascular.

关 键 词：胰岛素样生长因子-1 胰岛素样生长因子结合蛋白-1 生长激素 糖尿病 慢性并发症 

分 类 号：R587.1[医药卫生—内分泌]