中国儿童保健杂志 ›› 2014, Vol. 22 ›› Issue (10): 1022-1024.

• 科研论著 • 上一篇    下一篇

糖尿病母儿脐血胰岛素抵抗素含量及其与脂联素和瘦素的关系

陈宝昌1,戴兰芬2,任常军1,张晶1,王娜1   

  1. 1 河北医科大学第一医院儿科,河北 石家庄 050031;
    2 河北省儿童医院呼吸内科,河北 石家庄 050031
  • 收稿日期:2014-05-15 发布日期:2014-10-10 出版日期:2014-10-10
  • 通讯作者: 戴兰芬,E-mail:2208645694@qq.com
  • 作者简介:陈宝昌(1964-),男,河北人,主任医师,主要研究方向为新生儿疾病。

Resistin content of umbilical artery blood in infants with diabetic mothers and its relationships with adiponectin and leptin

CHEN Bao-chang1,DAI Lan-fen2,REN Chang-jun1,ZHANG Jing1,WANG Na1   

  1. 1 Department of Pediatrics,the First Affiliated Hospital of Hebei Medical University,Shijiazhuang,Hebei 050031,China;
    2 Department of Respirotory,the Children's Hospital of Hebei Province,Shijiazhuang,Hebei 050031,China
  • Received:2014-05-15 Online:2014-10-10 Published:2014-10-10
  • Contact: DAI Lan-fen,E-mail:2208645694@qq.com

摘要: 目的 测定糖尿病母儿脐血胰岛素抵抗素(以下简称抵抗素)、脂联素和瘦素含量,初步探讨妊娠期糖尿病母亲的胎儿生长发育的影响因素。方法 选取33例临床确诊的糖尿病母儿为研究组,另选30例正常足月新生儿为对照组,采用酶联免疫吸附法测定所有研究对象脐血抵抗素、脂联素及瘦素含量,精确测量糖尿病母儿生长发育指标,采用SPSS 16.0 软件进行结果分析。结果 研究组脐血抵抗素和脂联素含量低于对照组,差异有统计学意义(P<0.001),瘦素高于对照组(P<0.001);糖尿病母儿脐血抵抗素与体重、Ponderal指数和瘦素均呈负相关(r=-0.673、-0.563 、-0.412,P均<0.05),与脂联素呈正相关(r=0.397,P=0.003)。结论 糖尿病母儿脐血抵抗素与脂联素和瘦素之间可能存在一定关联;抵抗素与糖尿病母儿宫内生长发育有关。

关键词: 抵抗素, 妊娠期糖尿病, 新生儿, 脐动脉, 脂联素, 瘦素

Abstract: Objective To detect the levels of resistin,adiponectin and leptin in the umbilical artery plasma of infants born to mothers with gestational diabetes,and preliminarily to study the factors of affecting fetal growth and development. Methods Thirty-three babies born to diabetic mothers were clinically selected as study group,another 30 normal full-term newborn as control group.Resistin,adiponectin and leptin levels in cord serum were measured for all of the subjects by enzyme-linked immunosorbent assay.The indicators of growth and development in study group were accurately measured.The results were analyzed by using SPSS16.0 software. Results Resistin and adiponectin content of cord serum in study group was lower than in the control group,the difference was statistically significant (P<0.001).Leptin level was higher than the control goup(P<0.001).Resistin content was negatively correlated with wegiht,ponderal Index and leptin (r=-0.673,-0.563,-0.412,P<0.05),and positively correlated with adiponectin content (r=0.397,P=0.003). Conclusions There might be some relationship between resistin with adiponectin,leptin in umbilical artery plasma of infants with diabetic mothers,and resistin may be related to the regulation of fetal growth and development.

Key words: gestational diabetes, newborns, umbilical artery, adiponectin, leptin, resistin

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