| 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].现代生物医学进展英文版,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 |
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| 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: |
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| 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. |
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