甘油三酯与胰岛素抵抗的血象指标有关系吗?

Serap Cetiner, Özgür Okuturlar
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摘要

目的:探讨甘油三酯(TG)水平与非糖尿病胰岛素抵抗和非胰岛素抵抗型肥胖患者血象及生化指标的相关性。方法:糖尿病、神经系统、心脏和风湿病患者排除在研究之外。记录患者血象及各项生化指标进行统计学分析。患者被分为两组。1组HOMA-IR低于2.7,2组HOMA-IR高于2.7。结果:70例患者入选我们的研究。24名无胰岛素抵抗的患者被称为第一组,46名有胰岛素抵抗的患者被称为第二组。TG水平1组(80.05+32.17)低于2组(176.67+16.21)(p = 0.0001)。1组患者TG水平与血象参数无显著相关性。2组TG水平与红细胞压积(r = 0.475;P = 0.001)呈显著正相关,血小板淋巴细胞比(r = 0.474;P = 0.001)呈显著负相关。第2组TG和铁蛋白(r = 0.421;P = 0.004)呈显著正相关。结论:在无糖尿病的肥胖患者中,胰岛素抵抗高的患者甘油三酯水平较高。甘油三酯水平与胰岛素抵抗中hct、PLR和铁蛋白的显著相关性揭示了这些参数在动脉粥样硬化过程中的重要性。
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Is there any relationship between triglyceride and hemogram indicesin insulin resistance ?
Objective: We aimed to evaluate triglyceride (TG) level correlation with hemogram and biochemical parameters in non-diabetic but insulin-resistant and non-insulin-resistant obese patients. Methods: Patients with diabetes, neurological, cardiac, and rheumatological diseases were excluded from the study. Statistical analysis was performed by recording the patients' hemogram and all biochemical parameters. The patients were divided into two groups. Patients with a HOMA-IR level below 2.7 in group 1 and patients with a HOMA-IR level above 2.7 in group 2. Results: 70 patients were selected for our study. Twenty-four were assigned as those without insulin resistance and were named Group 1, and 46 of these patients were assigned as those with insulin resistance and were named Group 2. TG level was found to be lower in Group 1(80.05+32.17) compared to Group 2 (176.67+16.21) (p = 0.0001). There was no significant correlation between TG level and hemogram parameters in group 1. In Group 2, TG level and hematocrit (r = 0.475; p = 0.001) showed a significant positive correlation, while platelet lymphocyte ratio (r = 0.474; p = 0.001) showed a significant negative correlation. In Group 2, TG and ferritin (r = 0.421; p = 0.004) showed a significant positive correlation. Conclusion: In obese patients without diabetes, triglyceride levels were high in those with high insulin resistance. The significant correlation of triglyceride level with hct, PLR, and ferritin in insulin resistance reveals the importance of these parameters in the atherosclerotic process.
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