【摘要】 本文分析224例心肌梗塞存活者中与胰岛素抵抗有关的冠心病发病危险因素分布,发现高血压、高血糖、高甘油三酯及低高密度脂蛋白胆固醇血症发生率分别为49.1％、47.3％、28.1％及12.1％。具有上述危险因素中0项、1项、2项及3(或以上)项的四组(A、B、C、D组)胰岛素敏感性(IS)呈逐渐下降趋势:与前一组比较P<0.01、P<0.01、P<0.001,表明本人群冠心病危险因素叠加程度与胰岛素抵抗严重程度密切相关。更多还原

【Abstract】 This paper analysed the distribution of risk factors of coronary heart disease (CHD) related to insulin-resistance in 224 patients surviving myocardial infarction. The frequency of hypertension, hyper-glycemia, hypertriglyceridemia and low high-density cholesterol was 49.1% , 47. 3% , 28.1% and 12.1%, respectively. In the subgroups without or with 1, 2, or more than 3 CHD risk factors above mentioned (group A, B, C, D), the insulin sensitivity (IS) was decreased gradually. (P<0. 01, <0. 01 and <0. 001 compared with the next group before). Thus it indicated that the clustering of risk factors of CHD was significantly associated with the severity of IS in this population.更多还原