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2型糖尿病与骨代谢标志物相关性分析
引用本文:王小曼,;蒋孝东,;王志芳,;张洁蕾,;赵花,;郑丽丽. 2型糖尿病与骨代谢标志物相关性分析[J]. 医学与哲学(人文社会医学版), 2014, 0(8): 50-52
作者姓名:王小曼,  蒋孝东,  王志芳,  张洁蕾,  赵花,  郑丽丽
作者单位:[1]郑州大学第一附属医院内分泌科,河南郑州450052; [2]郑州市卫生学校,河南郑州450005
摘    要:探讨骨代谢标志物与2型糖尿病的相关性。收集2型糖尿病患者50例为糖尿病(T2DM )组,非糖尿病患者17例为对照组,检测所有研究对象的血清骨代谢标志物、空腹血糖(FBG)、糖化血红蛋白(HbA1c)。与对照组相比,T2DM 组血清25-羟维生素D3(25-OH VitD3)、骨钙素(BGP)、总Ⅰ型胶原氨基端延长肽(TPINP)水平明显下降,β胶原特殊序列(β-CTx)水平升高;血清25-OH VitD3与 HbA1c呈负相关,BGP与 FBG呈负相关,TPINP与 FBG和 HbA1c呈负相关,β-CTx与FBG、HbA1c呈正相关。提示2型糖尿病与骨代谢标志物存在一定的相关性。

关 键 词:2型糖尿病  骨质疏松  骨代谢

Correlation Analysis of Bone Metabolism Markers with Type 2 Diabetes Mellitus
Affiliation:WANG Xiao-man, JIANG Xiao-dong, WANG Zhi- fang , et aL. (Department of Endocrinology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China)
Abstract:To explore the correlation of bone metabolism markers with type 2 diabetes mellitus (T2DM ) .Fifty patients with T2DM were recruited in T2DM group ,while seventeen non-diabetic patients were recruited in control group .Bone metabolism markers ,fasting blood-glucose (FBG) and HbA1c of all objects were detected .Compared with control group , the levels of 25-OH VitD3 ,BGP ,TPINP in patients of T2DM group were significantly decreased ,while the level of β-CTx was significantly elevated .25-OH VitD3 was negatively correlated with HbA1c ,BGP was negatively correlated with FBG , and TPINP was negatively correlated with FBG and HbA1c .β-CTx was positively correlated with FBG and HbA1c .That suggests bone metabolism markers is correlated with T 2DM .
Keywords:type 2 diabetes mellitus  osteoporosis  bone metabolism
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