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为研究胰岛素依赖型糖尿病(IDDM)和非胰岛素依赖型糖尿病(NIDDM)患者中脂蛋白(a)[Lp(a)]水平的变化,选择18例IDDM患者和76例NIDDM患者用酶联免疫法(ELISA)测定Lp(a),并用20例非糖尿病作对照。结果:IDDM患者的Lp(a)水平与非糖尿病对照无明显差异,NIDDM患者的Lp(a)水平仅有上升的趋势,而其中高胰岛素组患者的Lp(a)水平则明显升高。在两组糖尿病患者中,伴有微量蛋白尿者的Lp(a)水平明显高于无蛋白尿的糖尿病患者和非糖尿病对照者。提示胰岛素水平较高和早期肾脏病变的糖尿病患者可能有较高水平的Lp(a)。
To investigate the changes of lipoprotein (a) [Lp (a)] levels in patients with and without insulin-dependent diabetes mellitus (IDDM) and non-insulin dependent diabetes mellitus (IDDM), 18 patients with IDDM and 76 patients with NIDDM were enrolled in this study. (ELISA) Lp (a), and 20 cases of non-diabetic control. Results: There was no significant difference in Lp (a) level between IDDM and nondiabetic controls. The Lp (a) level in NIDDM patients only showed an increasing tendency, while the Lp (a) level in patients with high insulin group was significantly higher than that in nondiabetic controls. In both groups of patients with diabetes, Lp (a) levels were significantly higher in patients with microalbuminuria than those without proteinuria and non-diabetic controls. Suggesting that patients with diabetes who have high insulin levels and early kidney disease may have a higher level of Lp (a).