糖尿病肾病易患因素分析  

Analysis on risk factors for nephropathy in type 2 diabetes mellitus

作　　者：王小燕[1] 史京衡[2] 李文君[3] 顾耀[3] 徐乃馨[3] 魏霞芳[3] 刘啸[3] 滕小洪[3] 

机构地区：[1]上海市杨浦区疾病预防控制中心,上海200090 [2]上海市杨浦区卫生局,上海200092 [3]上海同济大学附属铁路医院,上海200072

出　　处：《上海预防医学》2001年第1期28-29,共2页Shanghai Journal of Preventive Medicine

摘　　要：[目的 ]探讨 2型糖尿病肾病 (DN )的易患因素。 [方法 ]以尿白蛋白排泄率 (UAER)作为糖尿病肾病的早期检测指标 ,对 3 3 9例 2型糖尿病进行筛查及病例分析。 [结果 ]糖尿病病程、腰围 /臀围、血压、血糖、胰岛素及血清甘油三脂、低密度脂蛋白 -胆固醇、脂蛋白 (a) [Lp(a) ]升高与糖尿病肾病发生有关。[结论 ]糖尿病肾病是多因素作用结果。Objective] Exploring the risk factors for nephropathy in type 2 diabetes mellitus. [Methods] Case study was conducted on 339 patients as well as microalbuminuria screening since it can offer early detection of incipient nephropathy. [Results] Multiple logistic regression analysis indicated that duration of diabetes, waist-to-hip ratio, hypertension,hyperglycemia, hypertriglyceridemia, elevated LDL-cholesterol or Lp(a) were the main factors associated with DN. [Conclusion] Nephropathy in type 2 diabetes mellitus was associated with multifactorials.

关 键 词：Ⅱ型糖尿病 糖尿病肾病 尿白蛋白排泄率 VAER 

分 类 号：R587.2[医药卫生—内分泌] R692[医药卫生—内科学]