多排螺旋CT评价1型糖尿病患者腹部脂肪分布

发布时间：2018-04-18 06:28

本文选题：糖尿病 + 脂肪组织　；参考：《中国医学影像技术》2015年07期

【摘要】：目的应用多排螺旋CT探讨1型糖尿病患者腹部脂肪含量分布情况,并分析其与临床指标的相关性。方法回顾性分析79例1型糖尿病患者临床资料,对所有患者均进行多排螺旋CT检查并行腹部脂肪含量测定。将1型糖尿病患者按不同年龄和性别进行分组,应用t检验和方差分析比较各组中腹腔内脂肪含量(VA)、腹壁下脂肪含量(SA)、VA/SA的差异性。应用Pearson相关分析分析1型糖尿病患者VA、SA、VA/SA与体质量指数(BMI)、甘油三脂(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)以及年龄的相关性。结果 1各年龄组中女性SA、VA大于男性,VA/SA小于男性,而仅有10~20岁、21~30岁组中男、女性SA、VA/SA的差异有统计学意义(P均0.05)。男性VA/SA随年龄增长逐渐增长,差异有统计学意义(F=4.67,P0.05)。2SA与BMI呈正相关(r=0.54,P0.01);VA与BMI、TG、LDL-C呈正相关(r=0.56、0.41、0.21,P均0.05);VA/SA与年龄成正相关(r=0.28,P0.05)。结论应用多排螺旋CT测量腹部脂肪含量简单可行;1型糖尿病患者腹部脂肪分布在不同年龄、性别组中存在差异;糖尿病患者腹部脂肪含量与临床指标也存在一定的相关性。
[Abstract]:Objective to investigate the distribution of abdominal fat in patients with type 1 diabetes mellitus by multi-slice spiral CT and to analyze its correlation with clinical indexes.Methods the clinical data of 79 patients with type 1 diabetes were analyzed retrospectively.Patients with type 1 diabetes mellitus were divided into groups according to age and sex. T test and ANOVA were used to compare the difference of Va / SA in abdominal cavity and subabdominal wall in each group.Pearson correlation analysis was used to analyze the correlation between VA / SA and body mass index (BMI), triglyceride triglyceride (TGG), high density lipoprotein (HDL-C), low density lipoprotein (LDL-C) and age in type 1 diabetic patients.Results (1) in all age groups, the SAA / SA of females was higher than that of males (P < 0.01), but the difference of SAA / SA between females and females was statistically significant (P < 0.05), while that of females was lower than that of males (10 ~ 20 years old) and 21 ~ 30 years old group (P < 0.05).The VA/SA of male increased gradually with age, and the difference was statistically significant. There was a positive correlation between VA/SA 4.67, P0.05, 2SA and BMI. There was a positive correlation between VA and BMI-TGG LDL-C.Conclusion Multi-slice spiral CT is a simple and feasible method to measure abdominal fat content in patients with type 1 diabetes mellitus. There are differences in abdominal fat distribution in different age and sex groups, and there is also a correlation between abdominal fat content and clinical indexes in patients with diabetes mellitus.
【作者单位】：航天中心医院影像科;
【分类号】：R587.1;R816.6

【参考文献】