中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2015年
13期
1963-1965
,共3页
糖尿病,2 型%动脉僵硬度%肾脏损害%尿白蛋白%肌酐
糖尿病,2 型%動脈僵硬度%腎髒損害%尿白蛋白%肌酐
당뇨병,2 형%동맥강경도%신장손해%뇨백단백%기항
Diabetes mellitus,type 2%Arterial stiffness%Renal injury%Albuminuria%Creatinine
目的:了解2型糖尿病(T2DM)患者早期糖尿病肾病(DN)与动脉僵硬度的关系。方法回顾性分析120例 T2DM患者的临床资料,根据晨尿微量白蛋白与尿肌酐的比值分为两组,即 A 组(早期 DN 组)和 B 组(非早期 DN 组),比较两组动脉僵硬度的差异。结果A 组臂踝脉搏波传导速度(baPWV)值为(1827.3±450.2)cm/s,B 组 baPWV 值为(1634.5±285.8)cm/s,两组差异有统计学意义(t =2.164,P <0.05);以 baPWV 作因变量,年龄、血压值、尿白蛋白与尿肌酐比值(ACR)、尿素氮(BUN)等做自变量进行Logistic 回归分析,结果显示,年龄、收缩压、ACR、BUN 均影响 baPWV 的测定值。结论T2DM合并动脉僵硬的患者,更易出现早期肾脏损害。通过对糖尿病患者动脉僵硬度的检测,可及早评价患者的肾功能,及时予以相关干预。
目的:瞭解2型糖尿病(T2DM)患者早期糖尿病腎病(DN)與動脈僵硬度的關繫。方法迴顧性分析120例 T2DM患者的臨床資料,根據晨尿微量白蛋白與尿肌酐的比值分為兩組,即 A 組(早期 DN 組)和 B 組(非早期 DN 組),比較兩組動脈僵硬度的差異。結果A 組臂踝脈搏波傳導速度(baPWV)值為(1827.3±450.2)cm/s,B 組 baPWV 值為(1634.5±285.8)cm/s,兩組差異有統計學意義(t =2.164,P <0.05);以 baPWV 作因變量,年齡、血壓值、尿白蛋白與尿肌酐比值(ACR)、尿素氮(BUN)等做自變量進行Logistic 迴歸分析,結果顯示,年齡、收縮壓、ACR、BUN 均影響 baPWV 的測定值。結論T2DM閤併動脈僵硬的患者,更易齣現早期腎髒損害。通過對糖尿病患者動脈僵硬度的檢測,可及早評價患者的腎功能,及時予以相關榦預。
목적:료해2형당뇨병(T2DM)환자조기당뇨병신병(DN)여동맥강경도적관계。방법회고성분석120례 T2DM환자적림상자료,근거신뇨미량백단백여뇨기항적비치분위량조,즉 A 조(조기 DN 조)화 B 조(비조기 DN 조),비교량조동맥강경도적차이。결과A 조비과맥박파전도속도(baPWV)치위(1827.3±450.2)cm/s,B 조 baPWV 치위(1634.5±285.8)cm/s,량조차이유통계학의의(t =2.164,P <0.05);이 baPWV 작인변량,년령、혈압치、뇨백단백여뇨기항비치(ACR)、뇨소담(BUN)등주자변량진행Logistic 회귀분석,결과현시,년령、수축압、ACR、BUN 균영향 baPWV 적측정치。결론T2DM합병동맥강경적환자,경역출현조기신장손해。통과대당뇨병환자동맥강경도적검측,가급조평개환자적신공능,급시여이상관간예。
Objective To investigate the relationship between early diabetic nephropathy and arterial stiff-ness in patients with type 2 diabetes mellitus.Methods The clinical data of one hundred twenty patients with T2DM were collected for retrospective study.The patients with T2DMwere divided into an early diabetic nephropathy group (Group A)and a non -early diabetic nephropathy(Group B)according to the albuminuria to creatinine ratio(ACR)of first morning urine.Then compared the difference of the arterial stiffness between the two groups.Results An inde-pendent -sample T test was used for analysis.The brachial -ankle pulse wave velocity(baPWV)in group A and group B was(1 827.3 ±450.2)cm/s and(1 634.5 ±285.8)cm/s,respectively,which was statistically significance (t =2.164,P <0.05).Logistic regression analysis,in which baPWV was regarded as dependent variable,while age, blood pressure,ACR,and blood urea nitrogen(BUN)were independent variables,showed that age,systolic pressure, ACR,and BUN had an influence on the result of baPWV.Conclusion The patients with T2DMwith arterial stiffness are prone to early diabetic nephropathy.Therefore,dectection of arterial stiffness maybe an effective measure to evalu-ate the renal function of patients with T2DM,and make an intervention as soon as possible.