首页|2型糖尿病患者糖化血红蛋白与血清炎症指标、免疫球蛋白水平的相关性研究

2型糖尿病患者糖化血红蛋白与血清炎症指标、免疫球蛋白水平的相关性研究

Study on the Correlation between Glycosylated Hemoglobin and Serum In-flammatory Index and Immunoglobulin Level in Type 2 Diabetic Patients

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目的 探究2型糖尿病患者糖化血红蛋白水平与血清炎症指标、免疫球蛋白水平的相关性.方法 选择2022年1-9月期间到福州市第二医院就诊的50例2型糖尿病患者作为研究对象,均进行糖化血红蛋白、炎症指标、免疫球蛋白检测.同时根据患者糖化血红蛋白水平分为A组(糖化血红蛋白<7.5%,n=15)、B组(糖化血红蛋白7.5%~9.0%,n=20)、C组(糖化血红蛋白>9.0%,n=15),比较各组检测结果,并分析炎症指标、免疫球蛋白与糖化血红蛋白水平的相关性.结果 C组的超敏C反应蛋白(Hypersensitive C-reactive Protein,hs-CRP)、白介素-6(Interleukin-6,IL-6)、肿瘤坏死因子-α(Tumor Necrosis Factor-α,TNF-α)、免疫球蛋白A(Immunoglobulin A,IgA)水平显著高于B组、A组,差异有统计学意义(P均<0.05).C组免疫球蛋白G(Immu-noglobulin G,IgG)水平明显低于B组、A组,差异有统计学意义(P均<0.05).B组的hs-CRP、IL-6、TNF-α、IgA水平明显高于A组,IgG水平明显低于A组,差异有统计学意义(P均<0.05).Pearson相关系数分析显示,hs-CRP、IL-6、TNF-α、IgA与糖尿病患者糖化血红蛋白水平呈正相关性,IgG与糖化血红蛋白水平呈负相关(P<0.05),而免疫球蛋白M(Immunoglobulin M,IgM)水平与糖化血红蛋白水平无相关性(P>0.05).结论 2型糖尿病患者存在hs-CRP、IL-6、TNF-α及IgA、IgG异常,与糖化血红蛋白水平呈明显相关性,因此对于糖化血红蛋白异常升高者,需密切监测上述炎症、免疫球蛋白指标,便于临床及早发现患者机体异常,及时干预.
Objective To explore the correlation between the level of glycosylated hemoglobin and serum inflamma-tory markers and immunoglobulin in type 2 diabetes patients.Methods 50 patients with type 2 diabetes who visited Fuzhou Second Hospital from January to September 2022 were selected as the study objects,and all of them were tested for glycated hemoglobin,inflammation indicators and immunoglobulin.According to the glycosylated hemoglo-bin levels,patients were divided into group A(glycosylated hemoglobin<7.5%,n=15),group B(glycosylated hemo-globin 7.5%~9.0%,n=20)and group C(glycosylated hemoglobin>9.0%,n=15).The results of all groups were com-pared,and Pearson coefficient was used to analyze the correlation between inflammation index,immunoglobulin and glycosylated hemoglobin level.Results The levels of hypersensitive C-reactive protein(hs-CRP),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α)and immunoglobulin A(IgA)in group C were significantly higher than those in group B and group A,the differences were statistically significant(all P<0.05).The level of immunoglobulin G(IgG)in group C was significantly lower than that in group B and group A,the differences were statistically significant(both P<0.05).The levels of hs-CRP,IL-6,TNF-α and IgA in group B were significantly higher than those in group A,and the level of IgG was significantly lower than that in group A,the differences were statistically signifi-cant(all P<0.05).Pearson correlation coefficient analysis shows that hs CRP,IL-6,TNF-α,IgA was positively cor-related with the level of glycosylated hemoglobin in diabetes patients,IgG was negatively correlated with the level of glycosylated hemoglobin(P<0.05),but the level of immunoglobulin M(IgM)was not correlated with the level of glyco-sylated hemoglobin(P>0.05).Conclusion Patients with type 2 diabetes mellitus have abnormal hs-CRP,IL-6,TNF-α,IgA and IgG,which are significantly correlated with the level of glycosylated hemoglobin.Therefore,for those with abnormal glycosylated hemoglobin,it is necessary to closely monitor the above inflammation and immunoglobulin in-dicators,so as to facilitate the early detection of abnormalities in patients and timely intervention.

Type 2 diabetesGlycosylated hemoglobinImmunoglobulinInflammatory index

黄艺虹、梁观桃、吴学军、刘艳

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福州市第二医院检验科,福建福州 350011

福州市第二医院骨科,福建福州 350011

2型糖尿病 糖化血红蛋白 免疫球蛋白 炎症指标

福建省创伤骨科急救与康复临床医学研究中心项目福州市卫生健康中青年科学研究项目

2020Y20142021-swq16

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(2)
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