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目的 :探讨MONW与 2型糖尿病的关系。方法 :选择 3 3例MONW患者及 5 0例健康者 ,分别观察 5年 ,每年监测空腹及餐后 2小时血糖各两次 ,并计算其糖耐量异常的发生率 ,进行 χ2 检验。结果 :在观察期内 ,MONW组糖耐量异常发生率明显大于对照组 (经 χ2 检验 ,P <0 0 1)。结论 :①MONW患者有明显的 2型糖尿病发生倾向 ;②MONW概念的提出是对既往理想体重标准的一次修正 ;③应该尽早对诊断为MONW的患者采用节食及运动等有效的方法来预防 2型糖尿病的发生。
Objective: To investigate the relationship between MONW and type 2 diabetes mellitus. Methods: Thirty-three MONW patients and 50 healthy individuals were selected and observed for 5 years respectively. The fasting blood glucose and 2-hour postprandial blood glucose were monitored twice each year. The incidence of glucose tolerance abnormalities was calculated and the χ2 test was performed. Results: During the observation period, the incidence of abnormal glucose tolerance in MONW group was significantly higher than that in control group (χ2 test, P <0.01). Conclusion: ①MONW patients have obvious type 2 diabetes tendencies; ②MONW concept proposed is the ideal weight standard in the past, a correction; ③ should be diagnosed as MONW patients dieting and exercise and other effective methods to prevent type 2 diabetes occur.