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强化控制2型糖尿病患者血糖、血压\血脂可降低尿白蛋白/肌酐比率
引用本文:左黎昀,李兴,郝东梅. 强化控制2型糖尿病患者血糖、血压\血脂可降低尿白蛋白/肌酐比率[J]. 医学与哲学(人文社会医学版), 2009, 0(5): 23-24
作者姓名:左黎昀  李兴  郝东梅
作者单位:[1]大同大学医学院内科教研室,山西大同037008 [2]山西医科大学第二医院内分泌科,山西太原030001
摘    要:探讨2型糖尿病(T2DM)患者尿白蛋白/肌酐比率(UACR)的主要影响因素。89例T2DM患者实施血糖、血脂、血压强化控制,随诊1年并检测相关指标变化,统计学分析显示强化治疗后UACR降低,糖化血红蛋白和收缩压的变化值是影响UACR变化的主要因素。强化控制血糖、血脂、血压,尤其是严格控制糖化血红蛋白及收缩压,能减低糖尿病肾病发生的风险。

关 键 词:尿白蛋白/肌酐比率  糖尿病  2型

Intensive Controls of Blood Glucose,Blood Pressure and Lipid Profiles Decreased UACR in Type 2 Diabetic Patients
ZUO Li-yun,LI Xing,HAO Dong-mei. Intensive Controls of Blood Glucose,Blood Pressure and Lipid Profiles Decreased UACR in Type 2 Diabetic Patients[J]. Medicine & Philosophy:Humanistic & Social Medicine Edition, 2009, 0(5): 23-24
Authors:ZUO Li-yun  LI Xing  HAO Dong-mei
Affiliation:(Medical College of Datong University, Datong 037008, China)
Abstract:To study the influence of intensive controls of blood glucose, blood pressure and lipid profiles on urinary albumin to creatinine ratio (UACR) in patients with type 2 diabetes mellitus (T2DM). 89 T2DM cases were given intensive controls of blood glucose, blood pressure and lipid profiles for one year follow-up. After intensive controls, UACR was significantly decreased. The changes of HbAlc and SBP were independent determinants for UACR change. Intensive controls of blood glucose, blood pressure and lipid profiles, particularly H bAlc and SBP, reduced the risk of diabetic nephropathy.
Keywords:UACR   diabetes mellitus   type 2
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