文章摘要
王从旭1 郝立1 白鹏2 沈灵莉1 佟静1.尿微量白蛋白检测在社区糖尿病患者管理中的临床意义[J].,2011,11(17):3346-3348
尿微量白蛋白检测在社区糖尿病患者管理中的临床意义
The Clinical Significance of Microalbumin Detection in the Managementof Diabetic Patients in the Community
  
DOI:
中文关键词: 尿微量白蛋白  社区  糖尿病肾病  早期诊断
英文关键词: Microalbuminuria  Community  Diabetic nephropathy  Early diagnosis
基金项目:
作者单位
王从旭1 郝立1 白鹏2 沈灵莉1 佟静1 1 北京市东城区社区卫生服务管理中心2 北京市同仁医院内科 
摘要点击次数: 623
全文下载次数: 744
中文摘要:
      目的:观察尿微量白蛋白在糖尿病患者中的改变情况,探讨提高社区糖尿病肾病早期诊断检出率的方法。方法:选择社区2 型糖尿病患者73 例,根据空腹血糖控制情况及糖尿病病程时长分别分组,比较不同组间患者尿微量白蛋白水平及阳性病例检出 率,同时进行相关性分析。结果:MAlb 在不同血糖控制情况患者中,血糖水平与MAlb 数值、阳性检出率具有正相关性(P<0.05); 血糖控制良好患者与其他血糖控制情况患者相比,差异具有(高度)统计学意义(P<0.01;P<0.05);MAlb 在不同病程患者中,病程 时间与MAlb 数值、阳性检出率具有正相关性(P<0.05);≤5 年组患者与5~10 年组和≥10 年组相比,差异具有(高度)统计学意义 (P<0.01;P<0.05)。结论:尿微量白蛋白(MAlb)可作为早期糖尿病肾病检测的重要指标,能够提示肾脏病变的发展,定期检查能够 提高早期糖尿病肾病的检出率。
英文摘要:
      Objective: To observe the microalbuminuria change in the diabetic patients and research the method to improve the detection rate of early diabetic nephropathy in the community. Method: Collect 73 type 2 diabetes patients in the community,according to the fasting blood glucose control conditions and duration of diabetes duration, comparing the urinary albumin levels,the positive case detection rate and the correlation analysis. Result: In the patients with different glycemic control, there was a positive correlation in the glycemic value and the positive rate (P<0.05); there was a (high) statistical significant (P<0.01,P<0.05) in the well controlled group, general control group and poor control group;in the patients with different duration of diabetes duration, there was a positive correlation in the glycemic value and the positive rate (P<0.05); there was a (high) statistical significant (P<0.01,P<0.05) in the well controlled group,general control group and poor control group. Conclusion: In the early diabetic nephropathy, MAlb detection could be used as an important indicator that could prompt the development of kidney disease and increase the detection rate of early diabetic nephropathy by the regular checks.
查看全文   查看/发表评论  下载PDF阅读器
关闭