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目的 探讨 2型糖尿病患者的微量白蛋白尿相关危险因素。方法 对 6 5例 2型糖尿病合并微量白蛋白尿 (微量白蛋白尿组 )和 6 2例未合并微量白蛋白尿 (正常白蛋白尿组 )患者的微量尿白蛋白排泄率、病程、血压、空腹血糖、糖化血红蛋白、空腹胰岛素、体重指数及脂代谢指标进行比较与相关性分析。结果 ①微量白蛋白尿组患者的病程、血压、空腹血糖、糖化血红蛋白、甘油三酯、低密度脂蛋白、载脂蛋白B明显高于正常白蛋白尿组 ,高密度脂蛋白明显低于正常白蛋白尿组 ;②相关分析表明尿白蛋白排泄率与病程、血压、空腹血糖、糖化血红蛋白、甘油三酯、低密度脂蛋白、载脂蛋白B呈正相关 ;③逐步回归分析发现 ,尿白蛋白排泄率与病程、糖化血红蛋白、收缩压、甘油三酯呈正相关。结论 2型糖尿病患者的病程、血压、血糖、血脂是微量白蛋白尿的相关危险因素。
Objective To investigate the microalbuminuria-related risk factors in type 2 diabetic patients. Methods The urinary albumin excretion rate, course of disease, blood pressure, blood pressure, blood pressure and urine microalbuminuria in 65 patients with type 2 diabetes mellitus combined with microalbuminuria and 62 patients without microalbuminuria (normal albuminuria) Fasting blood glucose, glycosylated hemoglobin, fasting insulin, body mass index and lipid metabolism indicators were compared and correlation analysis. Results ① The course of disease, blood pressure, fasting blood glucose, glycosylated hemoglobin, triglyceride, low density lipoprotein and apolipoprotein B in patients with microalbuminuria were significantly higher than those in normal albumin group and high density lipoprotein was significantly lower than those in normal white patients Proteinuria group; ②The correlation analysis showed that urinary albumin excretion rate was positively correlated with duration of disease, blood pressure, fasting blood glucose, glycosylated hemoglobin, triglyceride, low density lipoprotein, apolipoprotein B. ③ Stepwise regression analysis showed that urinary albumin excretion Rate and duration, glycosylated hemoglobin, systolic blood pressure, triglyceride was positively correlated. Conclusions The course of disease, blood pressure, blood glucose and blood lipids in type 2 diabetic patients are the related risk factors of microalbuminuria.