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妊娠期糖尿病似乎与炎症有关。

GESTATIONAL DIABETES MELLITUS SEEMS TO BE ASSOCIATED WITH INFLAMMATION.

作者信息

Aktulay Ayla, Engin-Ustun Yaprak, Ozkan Mehmet Sahin, Erkaya Salim, Kara Mustafa, Kaymak Oktay, Danisman Nuri

出版信息

Acta Clin Croat. 2015 Dec;54(4):475-8.

Abstract

The aim of this study was to investigate whether gestational diabetes mellitus (GDM) is associated with inflammation by comparing serum levels of human chitinase-3-like pro- tein 1 (YKL-40), neutrophil/lymphocyte ratio (NLR) and platelet/lymphocyte ratio (PLR). This case control study included 29 pregnant women with GDM and 29 pregnant women with normal glucose tolerance matched for age (± 2 years) and pre-pregnancy body mass index (± 2 kg/m²). The YKL-40/CHI3L1 levels were measured, and NLR and PLR investigated. There were no statisti- cally significant differences in maternal age, gestational age, gravidity and parity. Higher YKL-40 levels were recorded in pregnant women with GDM compared to control subjects (203 (65-300) ng/ mL vs. 159.2 (14-290) ng/mL, p = 0.007). NLR and PLR were significantly higher in GDM com- pared with control group. In conclusion, GDM is associated with high levels of YKL-40, NLR and PLR, which indicate inflammatory status.

摘要

本研究旨在通过比较血清人几丁质酶-3样蛋白1(YKL-40)水平、中性粒细胞/淋巴细胞比值(NLR)和血小板/淋巴细胞比值(PLR),探讨妊娠期糖尿病(GDM)是否与炎症相关。这项病例对照研究纳入了29例GDM孕妇和29例年龄(±2岁)及孕前体重指数(±2kg/m²)相匹配的糖耐量正常孕妇。检测YKL-40/CHI3L1水平,并对NLR和PLR进行研究。孕妇年龄、孕周、孕次和产次方面无统计学显著差异。与对照组相比,GDM孕妇的YKL-40水平更高(203(65 - 300)ng/mL对159.2(14 - 290)ng/mL,p = 0.007)。与对照组相比,GDM组的NLR和PLR显著更高。总之,GDM与高水平的YKL-40、NLR和PLR相关,这些指标提示炎症状态。

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