2型糖尿病尿微量白蛋白筛查的意义

The Meaning of Urinary Microalbumin Screening of the Patients with Type Two Diabetes Mellitus

目的:探讨2型糖尿病患者尿微量白蛋白筛查的意义。方法:选取114例2型糖尿病患者按照有无合并糖尿病肾病分为观察组(2型糖尿病合并糖尿病肾病患者)64例、对照组(2型糖尿病无合并糖尿病肾病患者)50例,分别测定尿微量白蛋白(m AIb)、血β2微球蛋白(β2-MG)、糖化血红蛋白(Hb AIc)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)和空腹血糖(FBG)的水平。结果:尿m AIb,血β2-MG、Hb AIc、TC、TG、HDL-C、LDL-C、FBG观察组均高于对照组,差异有统计学意义(P<0.05)。结论:对糖尿病患者进行有效的微量白蛋白尿筛查是必要的。

Objective： To investigate the meaning of urinary microablumin screening of the patients with type two diabetes mellitus（T2DM）. Methods： All 114 T2 DM patients were allocated to 64 cases of the observation group（T2DM complicated with diabetic nephropathy） and 50 cases of the control group（T2DM） according to whether they were complicated with diabetic nephropathy, the levels of fasting blood glucose（FBG）, low density lipoprotein-cholesterol（LDL-C）, high density lipoprotein-cholesterol（HDL-C）, triglyceride（TG）, total cholesterol（TC）, glycosylated hemoglobin（Hb Alc）, blood 2 microglobulin（2-MG） and urinary microalbumin（m Alb） were detected respectively. Results： The observation group was higher than the control group in the levels of urinary m Alb, blood β2-MG, Hb Alc,TC, TG, HDL-C, LDL-C and FBG, and the difference was significant（P〈0.05）. Conclusion： It＇s necessary to perform effective microalbuminuria screening of diabetic patients.