首页|应用二甲双胍改善高胰岛素血症肥胖儿童糖代谢、血清脂源性激素水平

应用二甲双胍改善高胰岛素血症肥胖儿童糖代谢、血清脂源性激素水平

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目的 探究二甲双胍改善高胰岛素血症肥胖儿童糖代谢、血清脂源性激素水平的效果.方法 将40例健康体检儿童纳入对照组,另外分别选择40例轻度、中度和重度肥胖儿童纳入轻度肥胖组、中度肥胖组、重度肥胖组范畴;给予肥胖组儿童二甲双胍连续口服3个月,此后分别对各组体重指数(BMI)、学清脂源性激素水平、血糖水平等进行检测和比较.结果 比较组间的血糖代谢情况和体质量情况可见,肥胖组在治疗前和对照组存在十分明显的差异,经过治疗后肥胖组出现一定改善;P<0.05则说明差异明显.比较组间的相关激素水平可见,血清瘦素、脂联素在治疗前均和健康体检者存在明显差异,而经过治疗均出现一定改善,但是其抵抗素在治疗后无明显改善.结论 应用二甲双胍改善高胰岛素血症肥胖儿童糖代谢、血清脂源性激素水平分析可见,其对于患者糖代谢改善具有积极作用,同时改善部分血清激素水平,降低患者体重(BMI),因此值得临床借鉴使用.
Metformin improves glucose metabolism and serum levels of lipoprotein derived hormones in obese children with hyperinsulinemia
Objective To explore metformin improves hyperinsulinemia in obese children, glucose metabolism, serum lipid derived hormone levels. Methods 40 cases of healthy children were selected and included in the control group, 40 cases of mild, moderate and severe obese children in the obese group, moderately obese group, obese group given category; metformin in obese children orally for 3 months, then in each group of body mass index (BMI), the learning situation of adipose derived hormones, blood glucose levels were detected and compared. Results Compared the condition of blood glucose metabolism and body weight obviously, obesity group and control group before treatment there are very significant differences after treatment, the obese group appeared to be improved, indicates that the difference is obvious(P<0.05). Compare the hormone levels of serum leptin and adiponectin are visible in before the treatment and health examination Significant differences after the treatment showed some improvement, but the resistin in the treatment had no obvious improvement. Conclusion The application of metformin improves hyperinsulinemia in obese children with sugar metabolism, visible analysis of serum adipose derived hormones, the patients with improvement of glucose metabolism has a positive effect, while improving the serum hormone level, reduce patient weight (BMI), so it is worthy of clinical use.

MetforminHyperinsulinemiaobese childrenglucose metabolismserum levels of sex hormones

金佩丽、胡敏、周向明、张解宁、李杰

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嘉兴市妇幼保健院 儿科,浙江 嘉兴 314000

二甲双胍 高胰岛素血症 肥胖儿童 糖代谢 血清脂源性激素水平

2016年嘉兴市科技计划项目

2016AY23063

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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