文章摘要
樊琳琳 于吉祥 吴君丽 卢颖 李园园.Leptin、TNF-alpha、FFA 在肥胖症患者血清中的表达及临床意义[J].,2015,15(14):2727-2729
Leptin、TNF-alpha、FFA 在肥胖症患者血清中的表达及临床意义
The Expression and Clinical Significance of SerumLeptin, TNF- alpha,FFA in Patients of Obesity
  
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中文关键词: 瘦素  肿瘤坏死因子alpha  游离脂肪酸  肥胖
英文关键词: Leptin  Tumor necrosis factor-alpha  Free fatty acids  Obesity
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作者单位
樊琳琳 于吉祥 吴君丽 卢颖 李园园 山东省济宁市第一人民医院内分泌科 山东省济宁市第一人民医院血管外科 
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中文摘要:
      目的:研究瘦素(Leptin)、肿瘤坏死因子alpha(TNF-alpha)和游离脂肪酸(FFA)在肥胖患者血清中的表达以及其临床意义。方法:选 取2013 年5 月到2014 年5 月我院体检的肥胖症患者30 例(研究组),另选取非肥胖症者30 例(对照组),测量两组空腹血糖 (FPG)、空腹胰岛素(FINS)、血脂和Leptin、TNF- alpha、FFA 等指标,并比较两组之间的差异,观察Leptin、TNF- alpha、FFA 和肥胖相关指 标的相关关系。结果:研究组甘油三脂(TG)、极低密度脂蛋白- 胆固醇(VLDL-C)、Leptin、FINS 、FPG、TNF- alpha、FFA 以及HOMA 模型胰岛素抵抗指数(HOMA-IR)分别为(1.98± 0.31)mmol/L、(0.76± 0.02)mmol/L、(15.14± 0.04)ug/L、(20.56± 0.04)mmol/L、 (5.93± 0.04)mmol/L、(43.98± 0.14)ng/L、(0.17± 0.01)mmol/L 和(5.37± 0.25)均显著高于对照组,两组比较差异具有统计学意 义(t=9.423,8.979,9.074,10.082,9.089,9.562,9.065,10.083,均P<0.05);研究组胰岛素敏感指数(ISI)为(0.011± 0.002)显著低于 对照组(0.021± 0.001),两组比较差异具有统计学意义(t=11.428,P=0.012);FFA 与TG、HOMA-IR、FINS 呈正相关关系(r=0. 842,0.796,0.879,P=0.017.0.019,0.023),与ISI 呈负相关关系(r=-0.958,P=0.021);Leptin 与BMI、HOMA-IR、FINS 呈正相关关系 (r=0.793,0.869,0.837,P=0.018,0.022,0.017),与ISI 呈负相关关系(r=-0.905,P=0.011);TNF-alpha与ISI 呈负相关关系(r=-0.807, P=0.013)。结论:肥胖者血清中Leptin、TNF- alpha、FFA 显著高于正常者,且和肥胖等项指标具有相关关系。
英文摘要:
      Objective:To study the expression and clinical significance of serum Leptin, TNF-alpha,FA in obesity patients.Methods:30 cases of obesity were selected fromour hospital fromMay 2013 to May 2014(the study group), 30 cases of non-obesity were also selected as the control group, the fasting plasma glucose (FPG), fasting insulin (FINS), lipids and Leptin, TNF-琢, FFA and other indicators of two groups were measured and compare between the two groups, correlation between Leptin, TNF-alpha, FFA and obesity-related indicators were observed.Results:The levels of triglyceride (TG), very low density lipoprotein-cholesterol (VLDL-C), Leptin, FINS, FPG, TNF- alpha, FFA and HOMA model of insulin resistance index (HOMA-IR) of the study group were (1.98± 0.31) mmol/L, (0.76± 0.02) mmol/L, (15.14± 0.04) ug/L, (20.56± 0.04) mmol/L, (5.93± 0.04) mmol/L, (43.98± 0.14) ng/L, (0.17± 0.01) mmol/L and (5.37± 0.25), significantly higher than those of the control group, the difference was statistically significant(t=9.423, 8.979, 9.074, 10.082, 9.089, 9.562, 9.065, 10.083 all P<0.05), the insulin sensitivity index (ISI) of the study group was (0.011 ± 0.002) significantly lower than that (0.021± 0.001) of the control group, the difference was statistically significant (t=11.428, P=0.012); FFA had positive correlations with TG, HOMA-IR and FINS (r=0.842, 0.796, 0.879, P=0.017.0.019, 0.023), while had a negative correlation with ISI (r=-0.958, P=0.021); Leptin had a positive correlation with BMI, HOMA-IR and FINS (r=0.793, 0.869, 0.837, P=0.018, 0.022, 0.017), and a negative correlation with ISI (r=-0.905, P=0.011); TNF-alpha and ISI were negatively correlated (r= -0.807, P=0.013).Conclusion:The serumLeptin, TNF-alpha and FFA are significantly higher in obesity, and had correlation with other obesity indexes.
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