肥胖对高血压病人胰岛素抵抗的影响

Effects of Obesity on Insulin Resistance in Patients with Hypertension

  • 摘要: 目的观察肥胖是否加重高血压病人的胰岛素抵抗。方法口服75g葡萄糖做葡萄糖耐量试验(OGTT),用己糖激酶法测血糖,放免法测胰岛素和C肽。结果糖负荷后高血压两组的葡萄糖、胰岛素和C肽浓度及曲线下面积(AUC)高于对照组,而肥胖高血压组(OEH)又高于非肥胖高血压组(NOEH)。在2h和3h时NOEH的C肽/胰岛素摩尔比显著低于对照组,高血压两组间的C肽/胰岛素摩尔比无显著差异。结论肥胖加重了高血压病人的胰岛素抵抗(ISR)。

     

    Abstract: Aim\ To observe whether obesity aggravate insulin resistance in essential hypertensive patients.\ Methods\ Oral glucose tolerance test(OGTT) was used to investigate the presence of insulin resistance.\ Serum glucose was measured by hexokinase assay and serum insulin and Cpeptide were measured by radioimmunoassay.\ Results\ Serum glucose, insulin and Cpeptide levels and areas under curve in obese and nonobese hypertensive persons were higher than those in normal persons after glucose load.\ Moreover, obese hypertensive patients had higher parameters than nonobese hypertensive patients.\ Compared with control group, molar ratios of Cpeptide/insulin in hypertensive subjects decreased at 2 and 3 hours at OGTT;\ however there were not significant differences between obese and nonobese hypertensive patients.\ Conclusion\ Obesity aggravate insulin resistance in essential hypertensive patients.

     

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