关于慢性肾功能不全非透析患者代谢综合征的发生率分析

On the Incidence of Chronic Renal Insufficiency in Non-dialysis Patients with Metabolic Syndrome

目的分析慢性肾功能不全非透析患者代谢综合征的发生率。方法方便选取该院2014年5月—2015年5月收治的慢性肾功能不全非透析患者130例为研究对象,将其视为观察组,另外选择130例健康者作为对照组,对患者进行各项检查,比较代谢综合征的发生率。结果观察组中,糖尿病肾病代谢综合征的发生率(66.67%)明显高于非糖尿病肾病患者的代谢综合征发生率(19.27%)(P<0.05),而观察组代谢综合征的发生率(27.69%)也明显高于对照组健康者(12.31%)(P<0.05);观察组与对照组比较,观察组血压升高、高三酰甘油血症以及血尿酸升高率均明显高于对照组(P<0.05),腰围超标、空腹血糖升高率与对照组差异无统计学意义;糖尿病肾病患者中腰围超标、空腹血糖升高率明显高于非糖尿病肾病组(P<0.05),另外高三酰甘油、血压升高以及血尿酸升高率比较差异无统计学意义。结论慢性肾功能不全非透析患者较健康者有更高的代谢综合征和高尿酸发生率。

Objective To analyze the incidence of chronic renal insufficiency in non-dialysis patients with metabolic syndrome. Methods Convenient selection a hospital in May 2014 to May 2015 non-dialysis chronic renal failure patients admitted to 130 cases for the study, which was regarded as the observation group, choose another 130 healthy persons as a control group, each patient entry check, compare the incidence of the metabolic syndrome. Results In the observation group,diabetic nephropathy metabolic syndrome incidence（66.67%） was significantly higher than that in non diabetic nephropathy in patients with metabolic syndrome incidence（19.27%）（P〈0.05）, while the observation group of metabolic syndrome incidence（27.69%） was significantly higher than that in the control group of healthy subjects（12.31%）（P〈0.05）; the observation group and the control group, observation group elevated blood pressure, high triglyceride and uric acid increased rate were significantly higher than those of the control group（P〈0.05）, waistline, elevated fasting blood glucose and the rate of control group difference is small; excessive waist circumference in patients with diabetic nephropathy（DN）, fasting The rate of hyperglycemia was significantly higher than that of the non diabetic nephropathy group（P〈0.05）, and the difference was not significant between the blood pressure and the increase of the blood uric acid. Conclusion Chronic renal insufficiency compared with healthy non-dialysis patients with metabolic syndrome have a higher incidence and high uric acid.