2型糖尿病患者血清戊糖素与骨转换指标之间的相关性分析
The relationship between the serum pentosidine and boner turnover markers in patients with type 2 diabetes
  
DOI:10.3969/j.issn.1006-7108.2015.10.018
中文关键词:  2型糖尿病  戊糖素  骨转换指标
英文关键词:Type 2 diabetes  Pentosidine  Bone turnover markers
基金项目:新乡市重点科技攻关计划项目(ZG13028)
作者单位
赵建林1* 郭献山1 王林栋1 周艳红1 随华1 陈玉凤1 孔亚坤1 李江雁1 吴苏豫1 郝迎春2 耿秀琴1 郭振云1 赵海燕1 王英瑞1 1. 河南省新乡市中心医院?内分泌科河南 新乡453000 2. 河南省新乡市中心医院检验科河南 新乡 
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中文摘要:
      目的 探讨在2型糖尿病患者中血清戊糖素水平与骨转换指标之间的相关性以了解戊糖素对骨代谢的影响。方法 190例绝经后女性及>60岁男性2型糖尿病患者于空腹状态下抽取空腹静脉血液查肝肾功能、糖化血红蛋白(HbA1C)、I型胶原羧基端肽β特殊序列(β-CTX)、I型前胶原氨基端前肽(PINP)、骨钙素(OC)及戊糖素水平,分析戊糖素与肝肾功能及骨转换指标之间的相关性。结果 相关分析结果提示戊糖素与糖尿病病程、HbA1c、β-CTX水平相关(r=0.492、0.158和-0.156,P均<0.05),而与P?NP及OC之间的相关性无统计学意义(P =0.646和0.72)。多元线性回归分析结果提示戊糖素水平与糖尿病病程、HbA1C相关(P均<0.05),而与β-CTX的相关性无统计学意义(P =0.199)。结论 2型糖尿病患者血戊糖素水平与骨转换指标P?NP、β-CTX及OC水平之间无明显的相关性。
英文摘要:
      Objective To investigate the relationship between serum pentosidine and boner turnover markers in patients with type 2 diabetes mellitus (T2DM). Methods One hundred and ninety postmenopausal women and over 60 years old men with T2DM were enrolled. Fasting blood was withdrawn. The hemoglobin A1c (HbA1C), C-terminal telopeptide of type I collagen (β-CTX), N-terminal propeptides of type I procollagen (PINP), osteocalcin (OC), and serum pentosidine were determined. The relationship between pentosidine and liver and kidney function and bone turn markers was analyzed. Results The serum penotosidine levels were positively correlated with the duration of T2DM (r=0.492, P<0.05) and HbA1c (r=0.158, P<0.05), but negatively correlated with β-CTX (r=-0.156, P<0.05). Multiple linear regression analysis showed that the duration of the T2DM and HbA1c were associated with the serum pentosidine levels but were not associated with β-CTX. Conclusion The serum penotosidine level is not related to bone turnover markers in T2DM patients.
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