实用防盲技术2024,Vol.19Issue(1) :30-33,9,封2.DOI:10.3969/j.issn.1673-3835.2024.01.008

血清白脂素、CTRP9、TXNIP与2型糖尿病视网膜病变的相关性分析

Correlation Analysis of Serum Leukolipin,CTRP9,TXNIP and Type 2 diabetes Retinopathy

何笛 王煜东 杨璐 夏利
实用防盲技术2024,Vol.19Issue(1) :30-33,9,封2.DOI:10.3969/j.issn.1673-3835.2024.01.008

血清白脂素、CTRP9、TXNIP与2型糖尿病视网膜病变的相关性分析

Correlation Analysis of Serum Leukolipin,CTRP9,TXNIP and Type 2 diabetes Retinopathy

何笛 1王煜东 2杨璐 1夏利1
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作者信息

  • 1. 455000 河南安阳安阳市人民医院内分泌科
  • 2. 455000 河南安阳安阳市人民医院神经内科
  • 折叠

摘要

目的 探讨血清白脂素、Clq/肿瘤坏死因子相关蛋白9(CTRP9)、硫氧还蛋白互作蛋白(TXNIP)与2型糖尿病视网膜病变的相关性分析.方法 选取2020年7月至2022年8月诊治的150例2型糖尿病视网膜病变作为研究对象,并设立为观察组,同期选取150例单纯2型糖尿病患者设立为对照组,并根据严重程度将观察组分为增生性糖尿病视网膜病变(PDR)组(n=62)和非增生性糖尿病视网膜病变(NPDR)组(n=88),对比血清白脂素、CTRP9、TXNIP水平.结果 观察组的白脂素、CTRP9均低于对照组,而TXNIP高于对照组(t=7.431、5.963、10.425,P<0.05).PDR组的白脂素、CTRP9低于NPDR组,而 TXNIP 高于 NPDR 组(t=4.564、8.808、5.549,P<0.05).Kendall's tau-b 相关性分析显示,血清白脂素、CTRP9与视网膜病变严重程度呈正相关,TXNIP与视网膜病变严重程度呈负相关(r=0.289、0.510、0.344,P<0.05).ROC曲线分析显示,白脂素、CTRP9、TXNIP预测2型糖尿病患者并发视网膜病变的AUC值分别为(0.707、0.711、0.782,P<0.05);敏感度分别为94.00%、62.00%、58.00%;特异度分别为49.30%、871.30%、92.00%.结论 血清白脂素、CTRP9、TXNIP在2型糖尿病视网膜病变患者呈异常表达趋势,检测其水平变化对及时发现2型糖尿病患者并发视网膜病变具有重要意义.

Abstract

Objetive To investigate the correlation between serum albumin,Clq/tumor necrosis factor associated protein 9(CTRP9),thioredoxin interacting protein(TXNIP)and type 2 diabetic retinopathy.Methods A total of 150 patients with type 2 diabetic retinopathy diagnosed and treated from July 2020 to August 2022 were selected as the study objects and set as the observation group,while 150 patients with simple type 2 diabetes were selected as the control group during the same period.According to the severity,the observation group was divided into proliferative diabetic retinopathy(PDR)group(n=62)and non-proliferative diabetic retinopathy(NPDR)group(n=88),and the levels of serum lipins,CTRP9 and TXNIP were compared.Result The levels of albumin and CTRP9 in observation group were lower than those in control group,while TXNIP were higher than those in control group(t=7.431,5.963,10.425,P<0.05).The levels of leucolipin and CTRP9 in PDR group were lower than those in NPDR group,while TXNIP were higher than those in NPDR group(t=4.564,8.808,5.549,P<0.05).Kendall's tau-b correlation analysis showed that serum lipin and CTRP9 were positively correlated with the severity of retinopathy,while TXNIP was negatively correlated with the severity of retinopathy(r=0.289,0.510,0.344,P<0.05).ROC curve analysis showed that the AUC values of leukolipin,CTRP9 and TXNIP in predicting retinopathy in type 2 diabetes patients were(0.707,0.711 and 0.782,P<0.05).The sensitivity was 94.00%,62.00%and 58.00%,respectively.The specificity was 49.30%,871.30%and 92.00%.Conclusion The abnormal expression of serum lipids,CTRP9 and TXNIP in patients with type 2 diabetic retinopathy is of great significance for the timely detection of retinopathy in patients with type 2 diabetes.

关键词

白脂素/Clq/肿瘤坏死因子相关蛋白9/硫氧还蛋白互作蛋白/2型糖尿病视网膜病变

Key words

Bailipin/Clq/tumor necrosis factor related protein 9/Thioredoxin interacting protein/Type 2 Diabetic retinopathy

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出版年

2024
实用防盲技术
安徽省立医院

实用防盲技术

影响因子:0.39
ISSN:1673-3835
参考文献量10
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