持续性皮下胰岛素输注对初诊2型糖尿病患者胰岛β细胞功能及脂联素、 内脂素的影响
发表时间:2014-01-21 浏览次数:702次
胡郁刚1,陈根本2.持续性皮下胰岛素输注对初诊2型糖尿病患者胰岛β细胞功能及脂联素、 内脂素的影响[J].吉林医学,2014,35(3):458-460.
胡郁刚1,陈根本2
1.广东省潮州市潮州医院内二科,广东 潮州 521000;2.广东省潮州市潮安县庵埠华侨医院内二
2014
458-460
万方
目的:观察短期持续性皮下胰岛素输注(Continuous Subcutaneous Insulin Infusion,CSII)对初诊2型糖尿病患者胰岛β细胞功能及脂联素、内脂素的影响。方法:将62例初诊2型糖尿病患者随机分为治疗组与对照组,治疗组采用CSII,对照组仅皮下注射胰岛素,疗程共2周,比较两组治疗前后胰岛β细胞功能指标的变化,治疗前后均检测脂联素、内脂素,计算HOMA-IR(C-P),比较两组治疗前后胰岛素抵抗的变化。结果:治疗后,治疗组胰岛β细胞分泌功能、脂联素均显著升高,内脂素和胰岛素抵抗指数显著降低。差异有统计学意义(P<0.05)。结论:持续性皮下胰岛素输注对初诊2型糖尿病患者有积极作用。 Objective To observe the short-term continuous subcutaneous insulin infusion in patients with newly diagnosed type 2 diabetes,β-cell function and adiponectin、visfatin effects.Methods 62 patients were randomly divided into treatment and control groups,treatment group with CSII,the control group,only subcutaneous insulin injections daily for 2 weeks,two groups were compared before and after treatment of β-cell function index changes.Before and after treatment are within a detecting adiponectin,visfatin,calculated HOMA-IR(C-P).Results After treatment,the treatment group islet β-cell secretion,adiponectin were significantly elevated,visfatin and insulin resistance index decreased significantly.The difference was statistically significant(P<0.05).Conclusion Continuous subcutaneous insulin infusion for first diagnosis in patients with type 2 diabetes have a positive effect