临床荟萃

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糖尿病肾病的临床特征及其危险因素研究

  

  1. 保定市第一中心医院 内分泌二科,河北 保定  071000
  • 出版日期:2017-09-05 发布日期:2017-09-08
  • 通讯作者: 通信作者:李志红,Email:lizhihonglfz@126.com
  • 基金资助:
    河北省重点科技研究计划(ZL20140182)

Clinical characteristics and risk factors in type 2 diabetic nephropathy

  1. Department of Endocrinology,   Baoding First Central Hospital,   Baoding 071000,   China
  • Online:2017-09-05 Published:2017-09-08
  • Contact: Corresponding author: Li Zhihong, lizhihonglfz@126.com

摘要: 目的  探讨糖尿病肾病(DN)的临床特征及其危险因素。方法  回顾性分析3 251例2型糖尿病患者的临床资料,根据是否发生肾病分为两组,比较两组基本资料及实验室指标,采用多元Logistic回归分析2型糖尿病合并肾病的危险因素。结果  DN组病程、体重指数(BMI) 、收缩压(SBP)、舒张压(DBP)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDLC)、肌酐(Cr)、血尿酸(SUA)、空腹血糖(FPG)、糖化血红蛋白(HbA1c)、纤维蛋白原明显高于非DN组(P<0.05)。logistic回归结果显示:病程、吸烟、BMI、SBP、SUA、HbA1c、TG均为2型糖尿病患者发生肾病的危险因素。结论  2型糖尿病患者发生肾病的危险因素有病程、吸烟、BMI、SBP、SUA、HbA1c、TG;建议早期对高危人群进行相关危险因素的筛查及干预。

关键词: 糖尿病, 2型;糖尿病肾病;危险因素

Abstract: Objective  To investigate the clinical characteristics and risk factors in type 2 diabetic nephropathy. Methods  A total of 3 251 type 2 diabetes mellitus patients were chosen to carry on a retrospective casecontrol study.According to nephropathy or not,the patients were divided into DN group and nonDN group,general information and laboratory examination were compared between. The related risk factors of type 2 diabetic nephropathy were analyzed by logistic regression.Results  Disease course,body mass index(BMI),systolic blood pressure(SBP),diasstolic blood pressure(DBP),total cholesterol(TC), triglyceride(TG),low density lipoprotein cholesterol(LDLC),creatinine(Cr),serum uric acid(SUA),fasting blood glucose(FPG),hemoglobin A1c(HbA1c), fibrinogen  in DN group were significantly higher than those of nonDN group (P<0.05).Logistic regression analysis showed that disease course two groups, smoking, BMI,SBP, SUA, HbAlc and TG were risk factors of type 2 diabetic nephropathy.Conclusion  The risk factors of type 2 diabetic nephropathy are disease  course, smoking, BMI,SBP, SUA, HbAlc and TG, early screening for highrisk factors are recommended to reduce the occurrence of type 2 diabetic nephropathy.

Key words: diabetes mellitus, type 2, diabetic nephropathy, risk factors