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外周血白细胞与糖尿病肾病进展关系的研究
引用本文:张雪扬,刘晓真,白然,王咏波,杜建玲,李昌臣.外周血白细胞与糖尿病肾病进展关系的研究[J].中华全科医师杂志,2012(7):528-529.
作者姓名:张雪扬  刘晓真  白然  王咏波  杜建玲  李昌臣
作者单位:116011,大连医科大学附属第一医院内分泌科
摘    要:将473例肌酐正常的2型糖尿病肾病(DN)患者根据尿白蛋白/肌酐分为微量白蛋白尿组(DNl组,246例)和大量白蛋白尿组(DN2组,227例),结果显示,DN2组WBC、单核细胞、CRP较DNl组显著增加(6.8±1.7)×109/L比(6.3±1.5)×109/L,(0.49±0.23)×109/L比(0.32±0.21)×109/L,(4.1±1.1)mg/L比(1.7±0.3)mg/L,均P〈0.05]。多元线性回归分析显示,WBC、单核细胞、LDL—C和淋巴细胞是尿白蛋白/肌酐升高的独立影响因素。

关 键 词:糖尿病肾病  白细胞

Association of peripheral white blood cell with type 2 diabetic nephropathy
ZHANG Xue-yang , LIU Xiao-zhen , BAI Ran , WANG Yong-bo , DU Jian-ling , LI Chang-chen.Association of peripheral white blood cell with type 2 diabetic nephropathy[J].Chinese JOurnal of General Practitioners,2012(7):528-529.
Authors:ZHANG Xue-yang  LIU Xiao-zhen  BAI Ran  WANG Yong-bo  DU Jian-ling  LI Chang-chen
Institution:Department of Endocrinology, First Affiliated Hospital, Dalian Medical University, 116011, China
Abstract:A total of 473 patients of diabetic nephropathy (DN) with normal serum creatinine were recruited. Blood routine, blood lipids and urine albumin/creatinine ratio (UACR) were measured. They were divided into microalbuminuria group ( DN1, n = 246 ) and macroalbuminuria group ( DN2, n = 227 ). The white blood cell (WBC) count, monocyte count and CRP significantly increased with the progression of DNintheDN2 group versus those in the DN1 group (6.8 ±1.7) ×109/L vs. (6.3 ± 1.5)×109/L, (0.49±0.23)×109/Lvs. (0.32±0.21)×109/L,(4.1 ±1.1)mg/L vs, (1.7 ±0.3) mg/L, allP〈 0. 05]. According to multiple linear regression analysis, WBC, monoeyte, low density lipoprotein- cholesterol and lymphocyte were found to be independent influencing factors for the elevation of UACR.
Keywords:Diabetic nephropathies  Leukocytes
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