CAJ | 학술논문

目的：探讨糖尿病患者尿白蛋白排泄率/肌酐（A/C）比值对大血管功能及损害的预测价值。方法选择本院收治的240例糖尿病患者，进行A/C比值检测，按患者A/C分为A/C异常组与A/C正常组，对两组患者股动脉、颈动脉及冠状动脉进行彩色多普勒超声检查，比较两组患者血管内中膜厚度及粥样斑块形成比例。结果 A/C异常组患者股动脉、颈动脉、冠状动脉左支及右支内中膜厚度高于A/C正常组，A/C异常组患者股动脉、颈动脉、冠状动脉粥样斑块形成比例高于A/C正常组。结论糖尿病患者A/C与大血管结构损伤密切相关，A/C检测对大血管的损害具有一定的预测价值。
목적：탐토당뇨병환자뇨백단백배설솔/기항（A/C）비치대대혈관공능급손해적예측개치。방법선택본원수치적240례당뇨병환자，진행A/C비치검측，안환자A/C분위A/C이상조여A/C정상조，대량조환자고동맥、경동맥급관상동맥진행채색다보륵초성검사，비교량조환자혈관내중막후도급죽양반괴형성비례。결과 A/C이상조환자고동맥、경동맥、관상동맥좌지급우지내중막후도고우A/C정상조，A/C이상조환자고동맥、경동맥、관상동맥죽양반괴형성비례고우A/C정상조。결론당뇨병환자A/C여대혈관결구손상밀절상관，A/C검측대대혈관적손해구유일정적예측개치。
Objective To investigate the predictive value of urinary albumin excretory rate/creatinine (A/C) for great vessels functions and damage. Methods 240 cases of patients with DM were selectd and A/C were delected, and patients were divided into abnormal A/C groups and normal A/C groups according level of A/C, femoral artery, carotid artery and coronary artery were detected with color Doppler ultrasound in two groups, and intima media thickness (IMT) and rate of atheromatous plaque were contasted between abnormal A/C groups and normal A/C groups. Results IMT of femoral artery, carotid artery, right coronary artery and lift coronary artery were more thick in abnormal A/C groups than in normal A/C groups, rate of atheromatous plaque of femoral artery, carotid artery, right coronary artery and lift coronary artery were higher in abnormal A/C groups than in normal A/C groups. Conclusion A/C was higher correlative with great vessels damage on patients with diabetes mellitus, and delecting A/C was value for pretesting great vessels damage.