腰腹部脂肪抽吸术对心血管疾病防治作用的研究.docVIP

精品论文 参考文献 腰腹部脂肪抽吸术对心血管疾病防治作用的研究 徐永芬 郭建平 周宗贵 　　宜昌市第二人民医院 湖北宜昌 443000 　　【摘 要】目的：旨在探讨腰腹部脂肪抽吸术对患者糖脂代谢、糖化血红蛋白的影响，从而降低心脑血管及糖尿病并发症危险因素。方法：自2013年4月6日至10月6日，在宜昌市第二人民医院接受腰腹部脂肪抽吸术患者30例，年龄在18-50岁，均为中心型肥胖女性。所有患者在行皮下脂肪抽吸术前和术后3个月时分别采晨起空腹血，进行血糖、血脂、糖化血红蛋白等方面检查。结果： 30例中心型肥胖患者行吸脂术后3个月的糖化血红蛋白水平均较术前显著下降(Plt;0.05)。同时血糖、血脂、空腹胰岛素水平均较术前下降（Plt;0.05）。血脂：TC、TG、LDL-C、APOA1和APOB均较术前明显降低(Plt;0.05)，而HDL-C与术前比较有所升高且差异有统计学意义(Plt;0.05)，血糖：吸脂术后3个月患者空腹血糖水平较术前明显下降(Plt;0.05)。结论：中心型肥胖患者行脂肪抽吸术可降低自身糖化血红蛋白水平，同时可致血糖、血脂、空腹胰岛素水平改变，且这种改变有利于降低心血管疾病及糖尿病患者的并发症的风险。 　　【关键词】脂肪抽吸术；脂肪代谢；糖代谢；糖化血红蛋白 　　【中图分类号】R589.2 【文献标识码】B 【文章编号】1674-8999（2015）8-0412-03 　　Clinical studies of the influence of Waist and abdomen liposuction on HbA1c 　　Xuyongfen，Guo Jian Ping，Zhou Zong Gui， Second Peoples Hospital,Yichang, 443000,China 　　【Abstract】Objective：To investigate the influence and mechanism of Waist and abdomen liposuction on patientsrsquo; Glucose and lipid metabolism and HbA1c.Methods：30 patients, Age 18-50 years old, who were central obesity women, which were accepted the waist and abdomen liposuction on Second Peoples Hospital, Yichang. All of the patients were respectively collected morning fasting blood before Subcutaneous fat aspiration and 3 months later on surgery, blood glucose, blood lipids, glycated hemoglobin and other aspects of inspection had been starded.Results：Before surgery significantly decreased compared with 30 cases of central obesity underwent liposuction surgery three months of glycated hemoglobin levels (P lt;0.05). Meanwhile glucose, lipids, fasting insulin levels than before the surgery decreased (P lt;0.05). Lipids: Before TC, TG, LDL-C, APOA1 and APOB significantly lower than preoperative (P lt;0.05), while the former HDL-C was increased compared with the preoperative and the difference was statistically significant (P lt;0.05). Glucose: liposuction patients after 3 months compared with the preoperative fasting glucose levels decreased significantly (P lt;0.05).Conclusion：Central obesity