| 孙晓慧,柳 杰,刘大娜,张 媛,张艺颖,宁 萌,赵粱君,孙 宏.颈围用于筛选糖调节受损人群的临床价值研究[J].,2018,(20):3980-3983 |
| 颈围用于筛选糖调节受损人群的临床价值研究 |
| Analysis of the Clinical value of Neck Circumference for Screening the Patients with Impaired Glucose Regulation |
| 投稿时间：2018-04-15 修订日期：2018-05-17 |
| DOI：10.13241/j.cnki.pmb.2018.20.041 |
| 中文关键词: 颈围 糖调节受损 2型糖尿病 |
| 英文关键词: Neck circumference Impaired glucose regulation Type 2 Diabetes |
| 基金项目:黑龙江省教育厅科技项目（12541351） |
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| 中文摘要: |
| 摘要 目的：探讨颈围用于筛选糖调节受损人群的临床价值。方法：选取哈尔滨市第一医院2017年3月至11月收治的糖调节受损患者共100例，男性颈围以38 cm为临界值，女性以35 cm为临界值，分为颈围正常组和颈围异常组，比较两组患者空腹及餐后血糖、空腹胰岛素、糖化血红蛋白、总胆固醇、甘油三酯、低密度脂蛋白等相关指标水平，并分析颈围与以上指标的相关性。结果：颈围异常组患者的餐后2 h血糖、空腹胰岛素、糖化血红蛋白、总胆固醇、甘油三酯、低密度脂蛋白数值高于颈围正常组，尤以甘油三酯明显，高密度脂蛋白数值低于颈围正常组，差异有统计学意义(P＜0.05)。颈围与餐后2 h血糖、总胆固醇、甘油三酯、低密度脂蛋白水平呈正相关，差异均有统计学意义(P＜0.05)，颈围与高密度脂蛋白水平呈负相关，差异均有统计学意义(P＜0.05)。结论：颈围可以作为临床预测、评估糖调节受损患者的早期指标，为早期社区筛查及诊断提供相关的参考依据。 |
| 英文摘要: |
| ABSTRACT Objective: To discuss the clinical value of neck circumference for the screening of impaired glucose regulation. Methods: 100 patients with impaired glucose regulation were selected in the first hospital of Harbin from march to November 2017, the male neck circumference was a critical value of 38 cm, women are at 35 cm, the patients were divided into the normal group and the abnormal group, the levels of fasting and postprandial 2h blood glucose, fasting insulin, glycosylated hemoglobin, total cholesterol, triglycerides and low density lipoprotein were compared between the two groups, and the correlation between neck circumference and above indexes were analyzed. Results: The fasting blood glucose, postprandial 2 h blood glucose, fasting insulin, glycosylated hemoglobin, total cholesterol, triglyceride, low density lipoprotein in abnormal group were higher than those of the normal group(P＜0.05). Neck circumference were positively correlated with the postprandial 2 h blood glucose, total cholesterol, triglyceride, low density lipoprotein(P＜0.05), neck circumference was negatively correlated with the high density lipoprotein(P＜0.05). Conclusion: Neck circumference can be used as an early indicator for the clinical prediction and assessment of patients with impaired glucose regulation, it provided relevant references for early community screening and diagnosis. |
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