维汉2型糖尿病女性骨代谢指标对比 及相关影响因素
Comparison of Bone metabolic markers between Uyghur and Han nationalities in Hospitalized type 2 diabetic female patients and investigating their influential factors
  
DOI:
中文关键词:  2型糖尿病;骨代谢  维族  女性
英文关键词:type 2 diabetes  bone metabolism  Uyghur  female
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作者单位
陈园 单梓梅 王新玲 新疆维吾尔族自治区人民医院内分泌科,乌鲁木齐830000 
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中文摘要:
      目的比较住院维汉2型糖尿病女性骨代谢指标,并研究相关影响因素。方法纳人住院的2型糖尿病维汉女性患者 共264人,维吾尔族172人,汉族92人,空腹抽血查碱性磷酸酶(ALP),骨钙素(BGP),血钙(Ca)、维生素D3 ( VitD3),雌二醇 (E2),血清总睾酮(T),糖化血蛋白(HbA1C),测量身高、体重,腹围,并计算BMI。结果维汉两组年龄,病程,绝经情况,E2 及T无统计学差异,P >0.05,而腹围,BMI,HbA1 c,ALP及BGP水平较汉族组高,尸<0. 05,血钙及VitD3水平略低于汉族组,P <0.05。多元线性回归分析中,BGP存在民族差异(P =0.002),绝经患者的骨钙素水平高于未绝经者(P = 0.003);BMI与骨 钙素的水平呈负相关(P =0. 001)。结论维吾尔族2型糖尿病女性患者的BGP水平较汉族患者略高,无论种族如何,BGP的 水平与BMI呈负相关,绝经后女性的BGP水平显著高于绝经前女性。
英文摘要:
      Objective Comparison of Bone metabolic markers between Uyghur and Han nationalities in Hospitalized type 2 diabetic female patients and investigating their influential factors . Method 264 Hospitalized type 2 diabetic female patients were included,and Uyghur was 172,Han was 92. fasting blood samples were tested for alkaline phosphatase ( ALP),bone gla protein( BGP),blood calcium (Ca)、vitamin D3 (vitD3 ),estradiol ( E2),total testosterone (T),glycosylated hemoglobin ( HbA1C),and all participants were tested for height,body weight,waist circumference and BMI were calculated . Results age,duration of disease,proportion of menopause,E2 and T had no statistical significance between groups,P >0. 05 ; waist circumference,BMI,HbA1 c,ALP and BGP were higher in Uyghur group,P < 0. 05,however,blood calcium and vitD3 were lower in Uyghur group,P < 0. 05; in multiple linear regression analysis,BGP indicated nationality difference (P = 0. 002) ; BGP in menopause patients was higher than none ^menopause patients ( P = 0. 003 ) ; BMI had negative relation with BGP ( P =0. 001). Conclusion Uyghur type 2 diabetic female patients had higher BGP than Han nationality ; Regardless of nationality,level of BGP was higher in menopause patients than none ^menopause patients and had negative relation with BMI.
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