摘要
目的探讨高血压等与糖尿病肾病(DN)发病的相关因素,为糖尿病患者预防或延缓糖尿病肾病的发生和发展提供参考。方法从某医学院附属医院1998~2000年间收治的糖尿病患者病案中随机抽取308例2型糖尿病患者病案(其中DN145例,无DN者163例),对其相关指标进行统计分析。结果多因素logistic回归分析结果显示DN与年龄、高血压病程、糖尿病病程、是否有高血压、是否有高血脂、糖化血红蛋白、CRE、24h尿蛋白指标有关。结论积极的控制血压、血糖,纠正血脂紊乱,定期监测糖化血红蛋白、CRE、24h尿蛋白等指标变化,对预防或延缓DN的发生和发展有积极的意义。
Objective Discussion the Diabetic Nephropathy (DN) and its reated factors,giving a instruction to prevent and delay the occurrence of Diabetic Nephropathy.Methods Select 308 diabetic patients cases randomly from the Affiliated Hospital of an University,145 of them were found to have Diabetic Nephropathy and 163 were non-Diabetic Nephropathy.Analyze the relationship between DN and its factors.Results Logistic analysis showed that the significant relating factors were the age,hypertension,diabetes and its duration hypertension,hyper-lipid,Hemoglobin A_1C,CRE,urinary protein of 24 hours.Conclusion Controlling actively blood pressure and hyperglycemia,correcting the turbulence of plasma lipids,inspecting regularly HbA_1C,CRE,urine albumen of 24 hours were very important to prevent the occurrence of DN or delay development of DN.
出处
《中国厂矿医学》
2004年第6期448-449,共2页
Chinese Medicine of Factory and Mine