糖尿病患者甘油三酯高密度脂蛋白胆固醇比值水平与胰岛素抵抗的关系临床医学.doc

糖尿病患者甘油三酯高密度脂蛋白胆固醇比值水平与胰岛素抵抗的关系临床医学 目录 TOC \o "1-9" \h \z \u 目录 1 正文 1 文1：糖尿病患者甘油三酯高密度脂蛋白胆固醇比值水平与胰岛素抵抗的关系临床医学 2 1 资料与方法 3 2 结果 3 3 讨论 4 文2：妊娠糖尿病患者血清瘦素水平与胰岛素抵抗的关系 5 1 资料与方法 6 1. 2 方法 6 2 结果 7 3 讨论（三）导师制的作用 7 （四）结论 7 三、完善本科生导师制的对策和建议 8 （一）结合实际，加强针对性指导 8 （二）强化导师队伍，明确导师职责 8 （三）加强制度建设，完善考评体系 9 参考文摘引言： 10 原创性声明（模板） 11 文章致谢（模板） 11 正文 糖尿病患者甘油三酯高密度脂蛋白胆固醇比值水平与胰岛素抵抗的关系临床医学 文1：糖尿病患者甘油三酯高密度脂蛋白胆固醇比值水平与胰岛素抵抗的关系临床医学 Abstract： Objective To study the relation between triglyceride/high deity lipoproteincholesterol (TG/HDLC) ratio level in serum and iulin resistance (IR) in Paramete, such as fast iulin (FI), fast blood glucose (FBG), TG, HDLC, low deity lipoproteincholesterol (LDLC), were measured in 146 patients with diabetes Ⅱ. TG/HDLC ratio was calculated. The patients were divided into several groups according to serum TG/HDLC ratio and FBG TG/HDLC ratio of diabetic group (±) was obviously higher than that of normal control group (±), and the difference between them was notably significant (t=,P<). Homostasis model assessment (HOMA)IR (±) of the group whose TG/HDLC ratio was increased was obviously higher than that (±) of the group with normal TG/HDLC ratio, and the difference between them was notably significant (t=,P<). HOMAIR (±) of the group with higher FBG level (＞10 mmol/L) was higher obviously than that (±) of the group with lower FBG level (≤10 mmol/L), and the difference between them was notably significant (t=,P<).Conclusion There is a compact correlation between TG/HDLC ratio and iulin resistance in diabetes. Key words： diabetes mellitus; triglyceride; highdeity lipoprotein cholesterol; iulin resistance 糖尿病人群中常存在明显的脂代谢紊乱，其血脂异常多表现为甘油三酯（TG）水平异常升高及高密度脂蛋白胆固醇（HDLC）降低[1]。研究表明，血脂紊乱与胰岛素抵抗密切相关[2]，而胰岛素敏感性又影响脂蛋白代谢。我们通过对146例2型糖尿病患者血脂、脂蛋白及空腹胰岛素水平的检测，分析TG/HDLC比值水平与胰岛素抵抗的关系。 1 资料与方法 研究对象 糖尿病组：146例2型糖尿病患者均为住院病人，按WHO标准诊断[3]。男性92例，女性54例，年龄22~82岁，平均年龄（±）岁。全部患者均未用胰岛素 治疗 。正常对照组：为健康查体正常者，98例，男女各49例，年龄24~88岁，平均年龄（±）岁。 方法