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非胰岛素依赖型糖尿病早期肾病变 被引量:2

Diabetic Nephropathy in Recent Cases of Non-insulin Dependent Diabetes Mellitus
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摘要 观察5年内发病的NIDDM病人48例。检测尿微白蛋白(MAU)、白蛋白排泄率(AER)、血清β_2-mG、Ccr、24小时尿蛋白等。AER阳性率明显高于血清β_2-mG、Ccr、24小时尿蛋白的阳性检出(P<0.01)。AER与血清β_2-mG及Ccr呈显著相关(P<0.01)。AER是诊断糖尿病早期肾素的可靠依据。于NIDDM肾病变诸多影响因素中高血压是至关重要的。高血压与肾病相互影响,故抗高血压治疗可改善和延缓肾病变的发展。 Microalbuminuria (MAU), rate of albumin excretion (AER), serum microglobu-lin (S-β2mG), creatinine clearance (Ccr) and 24h urine protein were observed in 48 patients with non-insulin dependent diabetes mellitus of onset in recent 5 years. The rate of MAU and AER in incipient diabetic nephropathy was significantly higher than that of S-β2mG and Ccr (P<0.01). AER correlated significantly with S-β2mG and Ccr (P<0.01). AER was a reliable index in diagnosing incipient diabetic nephropathy. The most important influencing factor of non-insulin dependent diabetic nephropathy was hypertension. Hypertension and nephropathy are effected each other, therefore, antihypertension therapy may improve and delay the development of diabetic nephropathy.
出处 《天津医药》 CAS 1994年第5期285-287,共3页 Tianjin Medical Journal
关键词 尿 白蛋白 排泄率 糖尿病肾病 microalbuminuria rate of albumin excretion diabetic nephropathy
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