Anti-inflammatory effect of pioglitazone on insulin sensitivity and vascular endothelial cell function of patients with metabolic syndrome
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摘要: 目的 研究吡格列酮对伴糖耐量减低(IGT)的代谢综合征(MS)患者血管内皮细胞功能的影响.方法 对30例伴IGT的MS患者采用吡格列酮45 mg/d治疗8周.在治疗前后分别测定胰岛素敏感度检测指数(QU ICKI)、肱动脉内皮依赖性舒张功能(FMD)和硝酸甘油诱导的非内皮依赖性舒张功能(NID),高敏C反应蛋白(hs-CRP)改变.结果 治疗后FMD明显改善(P＜0.01),QUICKI指数升高(P＜0.05); hs-CRP水平降低(P＜0.01).结论 吡格列酮能明显改善IGT的MS患者的血管内皮细胞功能,其机制可能与改善体内胰岛素抵抗,抑制慢性炎症反应有关.
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