CAJ | 학술논문

目的：探讨糖尿病肾病(DN)并心肌损害的危险因素。方法：比较糖尿病肾病伴或不伴心肌损害的临床特征及其心肌损害的危险因素。结果：DN伴心肌损害组病程长(P＜0.05)，空腹血糖及糖化血红蛋白高(P＜0.01)，高血压发生率高(P＜0.01)，且肾脏损害重，死亡率越高。DN与糖尿病性心肌病的发生时间无并行关系。结论：糖尿病病程长、血糖控制不住、高血压和肾功损害是DN伴心肌损害的危险因素，临床对DN伴心肌损害者应早期加强血糖和血压的控制。
목적：탐토당뇨병신병(DN)병심기손해적위험인소。방법：비교당뇨병신병반혹불반심기손해적림상특정급기심기손해적위험인소。결과：DN반심기손해조병정장(P＜0.05)，공복혈당급당화혈홍단백고(P＜0.01)，고혈압발생솔고(P＜0.01)，차신장손해중，사망솔월고。DN여당뇨병성심기병적발생시간무병행관계。결론：당뇨병병정장、혈당공제불주、고혈압화신공손해시DN반심기손해적위험인소，림상대DN반심기손해자응조기가강혈당화혈압적공제。
Objective：To investigate the risk factors of diabetic nephropathy(DN) associated with cardiac damage.Methods The clinical characters and risk factors of DN with or without caridac damage were compared.Results:DN associated with cardiac damage had longer clinical histroy(P＜0.05),higher fast blood glucose,glycated hemoglobin(P＜0.01),higher rate of hypertension(P＜0.01),more serious renal damage,higher motrtality.The occuring time of DN was parelled with diabetic cardiomyopathy.Cosculsion:Longer clinical histroy of diabetes millitus,ineffective controlled blood glucose,hypertension and renal functional damage were risk factors of cardiac damage.Blood glucose and hypertension of DN with cardiac damage should be early controlled.