摘要
目的:探讨不同体质量指数患者相应血生化指标的差异。方法:选择2004-03/10在天津中医学院第一附属医院住院1周以上的患者3843例,均自愿参加调查。所有患者于住院1周内进行体格检查,测量身高、体质量,计算体质量指数。体质量指数=体质量/身高2。空腹血糖测定采用葡萄糖氧化酶法;尿素氮、肌酐、总蛋白、白蛋白、血清总胆固醇、三酰甘油、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇等采用全自动生化仪测定。结果:所有患者全部进入结果分析,中途无脱落。①体格检查结果:根据体质量指数结果将患者分为4组,正常组占体检人数的41.76%;营养不良组占体检人数的1.72%;超重组占体检人数的36.64%;肥胖组占体检人数的19.88%。②各组患者人体测量指标比较:体质量指数随年龄增长呈下降趋势。③各组患者生化指标检测结果:超重组和肥胖组患者高血糖、高胆固醇、高三酰甘油的检出比例高于营养不良组及正常组,而营养不良组低蛋白血症的比例高于其他各组。④体质量指数与患者生化检测指标的关系:超重组和肥胖组的血糖和白蛋白水平均显著高于正常组(t=-3.40,3.37,-1.27,6.53,P<0.01),超重组的三酰甘油显著高于正常组(t=3.12,P<0.05),营养不良组的总蛋白水平明显低于正常组(t=3.96,P<0.01)。结论:体质量指数与总蛋白、白蛋白、血糖、血脂关系密切。应根据不同体质量指数给予针对性的膳食指导,调整营养素的摄入,增强体育锻炼,降低体质量指数,避免营养不良及各种代谢性疾病的发生。
AIM： To investigate differences of corresponding blood biochemical indexes among patients with different body mass index. METHODS： Totally 3 843 inpatients for more than 1 week in the First Affiliated Hospital, Tianjin College of Traditional Chinese Medicine between March and October all participated in the study voluntarily. All the patients received physical examination within 1 week, body height and body mass were measured, and the body mass index was calculated [body mass index = body mass （kg）/body height（m）^2]. Fasting blood glucose was detected with glucose oxidase; Blood uria nitrogen, creatinine, total protein, albumin, serum total cholesterol, triglyceride, high density lipoprotein cholesterol （HDL-C） and kow density lipoprotein cholesterol （LDL-C） were determined with the automatic biochemical analyzer. RESULTS： All the patients were involved in the analysis of results, no one lost midway. ① Results of physical examination： According to the body mass index, the patients were divided into 4 groups, 41.76% in the normal group, 1.72% in the malnutrition group, 36.64% in the overweight group, and 19.88% in the obesity group. ② Comparison of the measured indexes among, the groups： Body mass index showed a descending trend with aging. ③ Detected results of biochemical indexes among the groups： The detection proportion of hyperglueemia, hypercholesterolemia and hypertriglyeridemiain the overweight group and obesity group were higher than those in the malnutrition group and normal group, but the proportion of hypoproteinemia in the malnutrition group was higher than those in the other groups. ④ Correlations of body mass index with the biochemical indexes： The levels of blood glucose and albumin were significantly higher in the overweight group and obesity group than in the normal group （t=-3.40, 3.37, -1.27, 6.53, P 〈 0.01）, triglyeeride in the overweight group was significantly higher than that in the normal group （t=3.12, P 〈 0.05）, and the level of total protein was obviously lower in the malnutrition group than in the normal group （t=3.96, P 〈 0.01）. CONCLUSION： Body mass index is closely correlated with total protein, albumin, blood glucose and blood lipids. Pertinent dietary instruction should be given according to different body mass index to adjust the intake of nutritional components, reinforce physical exercise, reduce body mass index, so as to avoid the occurrences of malnutrition and various metabolic diseases.
出处
《中国临床康复》
CSCD
北大核心
2005年第39期64-65,共2页
Chinese Journal of Clinical Rehabilitation
