糖尿病患者白蛋白尿与血管病变的关系

Albuminuria and angiopathy in diabetic patients

研究了２１７例糖尿病（ＤＭ）患者不同尿蛋白排出率（ＵＡＥ）与血管病变的相关关系。结果显示：ＵＡＥ水平与血压、冠心病、糖尿病视网膜病变、肾功能以及血胆固醇、年龄、病程有关。提示ＵＡＥ增高（＞２０μｇ／ｍｉｎ），不仅是诊断ＤＭ肾病的重要依据，也可能反映了ＤＭ患者大、微血管病变的广泛性。

The relationship between urinary albumin excretion rate(UAE) and angiopathy was studied in 217patients with diabetes mellitus.The results showed that UAE level was in association with blood pressure,coronary heart disaese,ischemic cerebrovascular disease,diabetic retinopathy,renal function, plasma choles-terol concentration,age and duration of diabetes.It is suggested that elevated UAE(>20μg/min) not only isan important diagnostic evidence of diabetic nephropathy,but also mighy indicate the presence of extensive macro-and microvascular diseases.