首页|绝经后2型糖尿病女性骨质疏松与胱抑素C的关系

绝经后2型糖尿病女性骨质疏松与胱抑素C的关系

扫码查看
目的 探讨绝经后2型糖尿病女性骨质疏松(OP)与血清胱抑素C(cysC)的关系.方法 应用免疫放射比浊法测定cysC,并根据Coekcroft-Gault公式推算出的肾小球滤过率(GFR),85例绝经后2型糖尿病女性分为骨质疏松(OP)组与非骨质疏松(non-OP)组,比较尿素氮(BUN)、肌酐(Cr)、尿白蛋白/肌酐(ACR)、GFR等指标;将骨密度(BMD)与上述指标进行pearson相关分析;根据 GFR将85例患者从高到低分为三组,比较三组的骨密度及OP患病率.结果 OP组较non-OP组Cr、ACR高(P<0.05或P<0.01),GFR低(P<0.01),BMD与GFR正相关.双侧股骨BMD (F=3.454,P<0.05)及OP患病率(x2=9.435,P<0.05)在不同GFR水平上的差异有统计学意义.结论 绝经后2型糖尿病女性可应用cysC的测定,及早发现肾功能的下降,以便对骨质疏松进行及早的预防和干预.
Relationship between osteoporosis and cystatin C in postmenopausal women with type 2 diabetes
Objective To investigate the relationship between osteoporosis and cystatin C in postmenopausal women with type 2 diabetes. Methods Cystatin C(cys C) was measured by immune scatter turbidimetry and glomerular filtration rate(GFR) was calculated by Cockcroft-Gault formula. 85 postmenopausal women with type 2 diabetes in hospital from April 2010 to July 2011 were divided into osteoporosis group and non-osteoporosis group,and compared blood urea nitrogen(BUN),creatinine(Cr), Alb/creatinine(ACR) ,GFR and so on between two groups. We made pearson correlation analysis between HMD and above mentioned indicators. 85 patients were divided into three groups according to GFR from high to low degree, and compared BMD and osteoporosis morbidity among three groups. Results Cr and ACR were higher in OP group than non-OP group(P<0.05 或 P<0.01) ,GFR were lower in OP group than non-OP group(P<0.05 或 P<0. 01). HMD and GFR were positive correlation. The difference was statistically significant in BMD Of two thighbones! F=3. 454, P<0. 05) and osteoporosis morbidity( group A 34 %, group B 69 % , group C 77 % x2 = 9. 435, P <0. 05) among three groups. Conclusion Cys C measuration of postmenopausal women with type 2 diabetes may detect the decrease of kidney function as soon as possible, prevent and treat osteoporosis as soon as possible.

PostmenopauseDiabetes Mellitus, Type 2complicationsOsteoporosiscomplicationsCerebrospinal Fluid ProteinsmetabolismCystatinsmetabolismProtease Inhibitorsmetabolism

王庭俊、王中心、陈纯娴

展开 >

福建医科大学附属第一医院干部科,福建福州350005

绝经后期 糖尿病,2型/并发症 骨质疏松/并发症 脑脊髓液蛋白质类/代谢 西司他汀类/代谢 蛋白酶抑制药/代谢

2012

中国误诊学杂志
中华预防医学会 漯河市中心医院 重庆第九人民医院

中国误诊学杂志

影响因子:0.406
ISSN:1009-6647
年,卷(期):2012.12(17)
  • 4