不同糖耐量人群的相关临床指标检测的临床价值研究  

Study on the Clinical Value of Related Clinical Indicators in DifferentGlucose Tolerance Populations

作　　者：颜海芳 YAN Haifang(The Sixth People's Hospital of Huizhou,Huizhou,Guangdong 516211)

机构地区：[1]惠州市第六人民医院,广东惠州516211

出　　处：《智慧健康》2022年第28期60-63,共4页Smart Healthcare

摘　　要：目的 对不同糖耐量人群有关指标检测的临床意义进行探讨。方法 将2020年2月-2021年2月来惠州市第六人民医院产科门诊治疗的10266例2型糖尿病患者、糖耐量降低患者、体检正常者列为研究对象,例数均为3422例,依次列为耐量高组、糖耐量降低组、正常组,三组研究对象均进行血糖指标检测、血脂指标检测,并对三组检测结果进行分析对比。结果 糖耐量高组的空腹血糖、餐后2小时血糖、糖化血红蛋白水平分别为(10.48±1.67)mmol/L、(15.32±3.53)mmol/L、(9.99±2.53)%,显著高于糖耐量降低组和糖耐量正常组;耐糖量高组的总胆固醇、三酰甘油、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇水平分别为(4.78±0.74)mmol/L、(2.58±0.44)mmol/L、(2.98±0.54)mmol/L、(0.98±0.13)mmol/L,显著高于糖耐量降低组和糖耐量正常组,组间差异有统计学意义,P<0.05。结论 糖代谢能力越差,血糖水平越高,脂质代谢能力越差,应对糖耐量异常人群进行有关临床指标检测,及时了解患者身体状况。Objective To explore the clinical significance of related indicators in different glucose tolerance populations. Methods 3422 patients with type 2 diabetes, 3422 patients with impaired glucose tolerance and 3422 people to conduct normal physical examination who came to the obstetric clinic of the Sixth People’s Hospital of Huizhou City from February 2020 to February 2021 were included in the study(10266 in total).They were classified into the high glucose tolerance group, the low glucose tolerance group and the normal group. The blood glucose index and blood lipid index of the three groups were tested, and the results of the three groups were analyzed and compared.Results The fasting blood glucose, 2-hour postprandial blood glucose and glycosylated hemoglobin levels of the high glucose tolerance group were(10.48±1.67)mmol/L,(15.32±3.53)mmol/L, and(9.99±2.53)%, respectively, which were significantly higher than those of sugar impaired tolerance group and normal glucose tolerance group;the levels of total cholesterol, triacylglycerol, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol in the high glucose tolerance group were(4.78±0.74)mmol/L and(2.58±0.44)mmol/L,(2.98±0.54)mmol/L,(0.98±0.13)mmol/L, respectively,significantly higher than those of the impaired glucose tolerance group and the normal glucose tolerance group, and the difference between the groups was statistically significant, P<0.05. Conclusion The worse the glucose metabolism ability, the higher the blood sugar level, and the worse the lipid metabolism ability. People with impaired glucose tolerance should be tested for related clinical indicators to understand the patient’s physical condition in time.

关 键 词：糖耐量 临床指标 检测 血糖 血脂 

分 类 号：R587.1[医药卫生—内分泌] R446.1[医药卫生—内科学]