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find Author "刘博伟" 2 results
  • 糖尿病合并无症状脑梗死与代谢综合征研究

    【摘要】 目的 探讨代谢综合征(MS)对糖尿病(DM)合并无症状脑梗死(SCI)的影响。 方法 分析2006年1月-2009年6月入院的经头颅CT或核磁确诊DM合并SCI(A组)患者38例,非DM合并SCI(B组)36例,检测收缩压(SBP)、舒张压(DBP)、体质量指数(BMI)、腰围(WC),静脉采血测空腹血糖(FPG)、血清甘油三脂(TG)、血清髙密度脂蛋白胆固醇(HDL-C)的水平。 结果 A组MS的发病率为34.2%明显高于B组19.4%(Plt;0.05)。A组SBP、FPG明显增高,HDL-C水平低于B组(Plt;0.05)。Logistic回归分析显示,糖尿病合并SCI发病密切相关的是高SBP和低LDL-C,OR值分别为2.11和1.15,95%CI为1.81~3.67、1.03~1.45(Plt;0.05)。 结论 MS使DM合并SCI发病率增高,有效控制SBP和升高HDL-C对预防DM合并SCI有重要临床意义。

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  • Changes of Gastrin and Motilin for Patients with Hepatocellular Carcinoma Complicated with Diabetes Mellitus before and after Operation

    ObjectiveTo discuss the effects of diabetes mellitus (DM) on gastrointestinal hormone changes before and after hepatocellular carcinoma (HCC) operation. MethodsThe clinical data of 143 patients with HCC treated in this hospital from April 2007 to Febuary 2010 were analyzed, which 43 patients with DM (DM group) and 100 patients without DM (NDM group). Gastrin (GAS) and motilin (MTL) levels were measured on day 3 before operation and on day 1, 2, and 7 after operation. Results① The blood MTL levels decreased and GAS levels increased on day 1, 2, and 7 after operation as compared with the levels before operation (all Plt;0.05). ② The blood MTL level and GAS level before operation in the DM group was higher than that in the NDM group (Plt;0.05), MTL level decreased while GAS level increased more significantly on day 1, 2, and 7 after operation (Plt;0.05). ③ The first anus exhausting time of patients with NDM was much earlier than that with DM (Plt;0.05). ④ The first anus exhausting time with DM over 10 years and fasting plasma glucose over 10 mmo1/L was obviously extended (Plt;0.05). ConclusionDM affectes GAS and MTL level changes after HCC operation, recovery of gastrointestinal function would be delayed if patients with long course of DM and poor control of plasma glucose.

    Release date:2016-09-08 10:45 Export PDF Favorites Scan
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