首页|达格列净对2型糖尿病患者心外膜脂肪组织体积的影响

达格列净对2型糖尿病患者心外膜脂肪组织体积的影响

扫码查看
目的:观察达格列净(DAP)对2 型糖尿病(T2DM)患者心外膜脂肪组织(EAT)体积的影响,并分析EAT体积与血清白细胞介素6(IL-6)和脂联素(ADPN)水平的相关性.方法:测定 32 例未应用DAP治疗(对照组)和 30 例应用DAP治疗(DAP治疗组)的T2DM患者的EAT体积,收集两组患者的临床资料并检测血清IL-6 和ADPN水平,采用Pearson相关分析EAT体积与IL-6 和ADPN水平之间的相关性.结果:与对照组相比,DAP治疗组T2DM患者的EAT体积降低(P<0.01),血清IL-6 水平降低(P<0.001),而 ADPN水平升高(P<0.001).EAT体积与 T2DM 患者血清 IL-6 含量呈正相关(r=0.509,P<0.01),与血清ADPN含量呈负相关(r=-0.432,P<0.01).结论:DAP治疗降低T2DM患者的EAT体积,有助于降低心血管事件的发生风险.
Effect of dapagliflozin on epicardial adipose tissue volume in patients with type 2 diabetes mellitus
Objective:To observe the effect of dapagliflozin(DAP)on the volume of epicardial adipose tissue(EAT)in patients with type 2 diabetes mellitus(T2DM),and analyze the correlation of EAT volume with serum interleukin-6(IL-6)and adiponectin(ADPN)levels.Methods:EAT volume was determined in 32 T2DM patients without DAP therapy(control group)and 30 T2DM patients treated with DAP(DAP group).Clinical data were collected,and serum levels of IL-6 and ADPN were determined in the patients in both groups.Pearson correlation was used to analyze the association between EAT volume and serum IL-6 and ADPN levels.Results:Compared with the control group,the EAT volume and serum IL-6 levels were significantly reduced in T2DM patients treated with DAP(P<0.01),whereas ADPN level was increased(P<0.01).Furthermore,EAT volume was positively correlated with serum IL-6 content in T2DM patients(r=0.509,P<0.01),yet negatively with serum ADPN level(r=-0.432,P<0.01).Conclusion:DAP treatment may reduce EAT volume in patients with T2DM,which can contribute to minimizing the risk of cardiovascular events.

type 2 diabetes mellitusdapagliflozinepicardial adipose tissue volume

孔祥、王秋云、张翠微、华强、王勇、王德国

展开 >

皖南医学院第一附属医院 弋矶山医院 内分泌科,安徽 芜湖 241001

皖南医学院第一附属医院 弋矶山医院 老年医学科,安徽 芜湖 241001

2型糖尿病 达格列净 心外膜脂肪组织体积

国家自然科学基金安徽省科技厅重点研发项目

819706992022e07020019

2024

皖南医学院学报
皖南医学院

皖南医学院学报

CSTPCD
影响因子:0.695
ISSN:1002-0217
年,卷(期):2024.43(3)