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目的 探讨老年人DN发生发展常见原因 ,为防治提供简便、有效方法。方法 随机选择 60岁以上老年人DN和NDN患者的病史资料 ,问卷调查同时检查血压、血糖、血脂、尿白蛋白、肾功能等进行比较分析。结果 老年人DN组病程长 ,不良的血糖控制 ,长期维持 >10mmol/L超过 2 5年以上并伴血脂异常 ,出现微量白蛋白尿 ,逐渐发展成慢性肾功能不全和其他多种并发症。结论 长期高血糖、高血脂是老年人DN的重要危险因素 ,微量白蛋白尿预示着肾脏已有不同程度损害 ,良好血糖控制可减少可延缓老年人DN的发生发展。
Objective To explore the common causes of occurrence and development of DN in the elderly and to provide a simple and effective method for prevention and treatment. Methods The data of DN and NDN in the elderly over 60 years of age were randomly selected. The blood pressure, blood glucose, blood lipid, urinary albumin and renal function were also analyzed by questionnaire. Results The DN group had long course of disease and poor glycemic control. Long-term maintenance> 10mmol / L over 25 years with dyslipidemia, microalbuminuria and progressive renal insufficiency and other complications. Conclusions Long-term hyperglycemia and hyperlipidemia are important risk factors for DN in the elderly. Microalbuminuria indicates that the kidneys have been damaged to varying degrees. Good glycemic control can be reduced to delay the occurrence and development of DN in the elderly.