探讨肾内科糖尿病肾病患者的临床就诊分析  

To Explore the Clinical Doctor Analysis of Renal Medicine in Patients with Diabetic Nephropathy

作　　者：刘照义 

机构地区：[1]山东省枣庄矿业集团枣庄医院,山东枣庄277011

出　　处：《临床医药文献电子杂志》2017年第4期608-608,610,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨肾内科糖尿病患者的临床就诊特点。方法选取本院2015年10月至2016年10月接诊的100例糖尿病肾病患者,对其临床资料进行回顾性分析,对他们的肾功能情况、并发症以及治疗进行记录总结,同时开展了5个月的随访,进一步总结治疗特点。结果经随访发现大部分糖尿病患者就诊原因为顽固性水肿、肾功能衰竭以及蛋白尿增多等,就诊时进行相关检查发现患者多合并贫血、高血压、冠心病、心功能不全、感染以及糖尿病心肌病;糖尿病的治疗方式多为肾脏替代治疗。结论糖尿病患者多合并不同并发症,且大部分患者会出现肾功能衰竭,死亡率较高,应加强对糖尿病肾病患者的早期诊断,及时治疗,延缓病情进展。Objective To investigate the clinical characteristics of diabetic patients with renal internal medicine. Methods A total of 100 patients with diabetes mellitus admitted from October, 2015 to October, 2016 were retrospectively analyzed. Their renal function, complications and treatment were recorded. At the same time, Month follow-up to further summarize the treatment characteris- tics. Results Most of the patients were diagnosed as refractory edema, renal failure and proteinuria. Most of the patients were diag- nosed as anemia, hypertension, coronary heart disease, cardiac insufficiency, infection and diabetic myocardium. Disease; diabetes treatment for renal replacement therapy. Conclusion Diabetic patients with different complications, and most patients with renal fail- ure, high mortality, should strengthen the early diagnosis of diabetic nephropathy, timely treatment, delay the progression of the dis- ease.

关 键 词：糖尿病肾病 肾内科 就诊分析 

分 类 号：R587.1[医药卫生—内分泌]