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目的探讨糖尿病肾病(DN)肾功能衰竭晚期患者肾功能与血糖的关系。方法对44例DN肾功能衰竭晚期患者入院时与死亡前空腹血糖(FPG)、尿素氮(BUN)、肌酐(Scr)等指标变化进行检测、比较、分析。结果 DN肾功能衰竭晚期患者入院时与死亡前FPG、BUN、Scr差异有统计学意义(P<0.01),FPG下降与BUN、Scr升高呈负相关,且血糖波动大不易控制、低血糖不易察觉。结论晚期低血糖是DN患者病情恶化的一个重要因素。
Objective To investigate the relationship between renal function and blood glucose in patients with advanced renal failure of diabetic nephropathy (DN). Methods Forty - four DN patients with advanced renal failure at admission were compared with the changes of fasting blood glucose (FPG), blood urea nitrogen (BUN), creatinine (Scr) and other indicators before death. Results There was a significant difference in the FPG, BUN and Scr levels between the patients with advanced renal failure and before death (P <0.01). The decline of FPG was negatively correlated with the increase of BUN and Scr, and the fluctuation of blood glucose was not easily controlled. aware. Conclusion Late hypoglycemia is an important factor in the deterioration of DN patients.