糖尿病患者尿白蛋白排泄率/肌酐比值与大血管损害的相关性研究  

Correlation study of A/C with great vessels damage on patients with diabetes mellitus

作　　者：张若兰[1] 

机构地区：[1]哈励逊国际和平医院心内科,衡水053000

出　　处：《中国医学前沿杂志（电子版）》2014年第2期42-44,共3页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：2013年衡水市科学技术研究与发展计划课题项目(13017Z)

摘　　要：目的探讨糖尿病患者尿白蛋白排泄率/肌酐(A/C)比值对大血管功能及损害的预测价值。方法选择本院收治的240例糖尿病患者,进行A/C比值检测,按患者A/C分为A/C异常组与A/C正常组,对两组患者股动脉、颈动脉及冠状动脉进行彩色多普勒超声检查,比较两组患者血管内中膜厚度及粥样斑块形成比例。结果 A/C异常组患者股动脉、颈动脉、冠状动脉左支及右支内中膜厚度高于A/C正常组,A/C异常组患者股动脉、颈动脉、冠状动脉粥样斑块形成比例高于A/C正常组。结论糖尿病患者A/C与大血管结构损伤密切相关,A/C检测对大血管的损害具有一定的预测价值。Objective To investigate the predictive value of urinary albumin excretory rate/creatinine (A/C) for great vessels functions and damage. Methods 240 cases of patients with DM were selectd and A/C were delected, and patients were divided into abnormal A/C groups and normal A/C groups according level of A/C, femoral artery, carotid artery and coronary artery were detected with color Doppler ultrasound in two groups, and intima media thickness (IMT) and rate of atheromatous plaque were contasted between abnormal A/C groups and normal A/C groups. Results IMT of femoral artery, carotid artery, right coronary artery and lift coronary artery were more thick in abnormal A/C groups than in normal A/C groups, rate of atheromatous plaque of femoral artery, carotid artery, right coronary artery and lift coronary artery were higher in abnormal A/C groups than in normal A/C groups. Conclusion A/C was higher correlative with great vessels damage on patients with diabetes mellitus, and delecting A/C was value for pretesting great vessels damage.

关 键 词：A/C比值 糖尿病 大血管 内中膜厚度 粥样斑块 

分 类 号：R587.1[医药卫生—内分泌]