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血清网膜素1与妊娠期糖尿病的相关性

  

  1. 1.昆明医科大学附六院 检验科,云南 昆明 650031;2.玉溪市中心血站,云南 玉溪  653100
  • 出版日期:2016-10-05 发布日期:2016-10-11
  • 通讯作者: 通信作者:马润玫,Email:pbl6916@163.com
  • 基金资助:
    国家自然科学基金资助项目(81160082)

Correlation of serum omentin1 and gestational diabetes mellitus

  1. 1. Department of   Laboratory, 6th  Affiliated Hospital of Kunming Medical University,
    Kunming 650031, China;2. Central Blood Station of Yuxi, Yuxi 653100, China
  • Online:2016-10-05 Published:2016-10-11
  • Contact: Corresponding author: Ma Runmei, Email: pbl6916@163.com

摘要: 目的探讨血清网膜素1(omentin1)与妊娠期糖尿病(GDM)的关系。方法酶联免疫法定量85例孕前肥胖GDM,85例孕前正常GDM及匹配设置的85例糖耐量正常(NGT)孕妇血清网膜素1水平,同时检测3组血清空腹血糖(FPG)、空腹胰岛素(FINS)水平,计算胰岛素抵抗指数(HOMAIR)。结果①GDM组FPG、FINS及HOMAIR均明显高于NGT组,且后二者还表现为:肥胖GDM>非肥胖GDM>NGT组(P<0.05);②GDM组血清网膜素1明显低于NGT组,表现为:肥胖GDM<非肥胖GDM<NGT组(P<0.05);③相关性分析:血清网膜素1与BMI、FPG、FINS 及HOMAIR明显负相关(P<0.05);④多元回归分析:孕前肥胖GDM组:网膜素1=484.1265.015BMI7.016FPG13.224FINS;孕前正常GDM组:网膜素1=497.0084.092BMI6.079FPG11.258FINS。结论血清网膜素1与GDM关系密切,能反映孕妇糖、脂代谢紊乱和胰岛素抵抗程度,可能参与了GDM疾病的发生和发展。

关键词: 脂肪因子类, 网膜素1, 糖尿病, 妊娠

Abstract: ObjectiveTo investigate the relationship of serum omentin1 and gestational diabetes mellitus (GDM). MethodsSerum omentin1, fasting plasma glucose (FPG) and fasting insulin (FINS) were tested in 85 cases of GDM with prepregnancy obesity, 85 cases of GDM with normal pregnancy and 85 cases of NGT. The resistance of insulin (HOMA IR) was calculated and statistically analyzed. Results① The FPG, FINS and HOMAIR in GDM group were significantly higher than NGT group, and the last two appeared: obesity GDM > nonobese GDM>NGT group (P<0.05); ② Serum omentin1 in  GDM group was obviously lower than NGT group, obesity GDM<non obese GDM<NGT group (P<0.05); ③ Correlation analysis: serum omentin1 was significantly negative correlation with BMI, FPG, FINS and HOMAIR; ④ The multiple regression analysis, pregnancy obesity GDM group: omentin1=484.1265.015BMI7.016FPG13.224FINS; GDM with normal pregnancy group: omentin1=497.0084.092BMI6.079FPG11.258FINS.ConclusionSerum omentin1 is associated with GDM closely,which can reflect degrees of sugar, lipid metabolic disorder and insulin resistance in pregnant women, may be involved in the occurrence and development of GDM.

Key words: adipokines, omentin1, diabetes, gestational