›› 2015, Vol. 36 ›› Issue (4): 391-391.

• 论文 • 上一篇    下一篇

糖尿病患者血清 CA199水平与血糖、年龄的相关性

肖雪娜;王莹;王心捷;吴爱琴;高玉翠   

  1. 河北省唐山市第三医院内分泌科,河北 唐山,063100%河北省唐山市第三医院护理部,河北 唐山,063100%河北省丰润第二人民医院内分泌科,河北 唐山,063100%河北省唐山市第三医院门诊部,河北 唐山,063100%河北省唐山市古冶区医院内科,河北 唐山,063100
  • 发布日期:2015-04-25

YOU Yang;FENG Qian;XIA Yue;QI Guo-qing;ZHANG Yan;ZHANG Qing-wen

XIAO Xue-na;WANG Ying;WANG Xin-jie;WU Ai-qin;GAO Yu-cui   

  • Published:2015-04-25

摘要: 目的:评价糖尿病患者糖化血红蛋白(hemoglobin A1 c,HbA1 c)、空腹血糖(fasting blood glucose, FBG)、年龄与血清 CA199水平的关系。方法依据河北省唐山市第三医院血清 CA199正常值范围,以血清 CA199水平≥27 kU/L 为升高切点,将508例住院糖尿病患者分为正常组和升高组,比较2组不同代谢指标水平的差异。采用 Pearson 直线相关分析,观察 CA199和连续变量的相关性,并进行多元线性回归分析,观察 HbA1 c、FBG、年龄与血清 CA199的定量关系。结果升高组的年龄、HbA1 c、FBG、2 hPG 均高于正常组(P <0.05)。Pearson 直线相关分析显示血清 CA199与 HbA1 c、FBG、年龄呈正相关(r =0.152、0.120、0.150,P <0.01)。多元线性回归分析显示HbA1 c、FBG、年龄是血清 CA199升高的危险因素。结论糖尿病患者 CA199水平与血糖控制不佳及年龄有密切关系。

关键词: 糖尿病, CA199, 肿瘤标志物, 血红蛋白A, 糖基化

Abstract: Objective To evaluate the correlation of hemoglobin A1 c (HbA1 c),fasting blood glucose(FBG),age and serum CA199 levels in diabetes mellitus (DM) patients.Methods According to the normal range of CA199 levels(CA199<27 kU/L),508 DM patients in the Third Hospital of Tangshan were divided into two groups,normal group and elevated group.The indexes of two groups were compared.Single factor correlation analysis Pearson was performed for the correlation of the continuous variables.Multiple liner regression analysis was performed for the quantitative relationship between CA199 and risk factors.Results The age,HbA1 c,FBG and 2 hour blood glucose of elevated group were higher compared with those of normal group (P <0.05).Single factor correlation analysis Pearson showed that serum CA199 was positive correlated with HbA1 c,FBG and age(r =0.152,0.120,0.150,P <0.01).Multiple linear stepwise regression analysis showed that HbA1 c,FBG and age were risk factors of serum CA199.Conclusion Serum CA199 levels of DM patients were closely related with poor glucose control and age.

Key words: diabetes mellitus, CA199, tumor markers, HbA1 c

中图分类号: