72例2型糖尿病患者尿微量白蛋白相关因素分析

目的 探讨2型糖尿病患者尿微量蛋白的相关危险因素及干预措施。方法 对已确诊的72例2型糖尿病患者做尿微量白蛋白测定，并检测身高、体重、计算体重指数，测定血压、空腹血糖、糖化血红蛋白、血脂，进行眼底检查。结果 其中28例尿微量白蛋白为阳性，占38．9％，其血压、血脂、空腹血糖、糖化血红蛋白、体重指数、眼底病变，明显高于微量白蛋白正常的2型糖尿病患者。结论 早期检测尿微量白蛋白，严格控制血压、血糖、血脂、体重，是减缓2型糖尿病患者尿微量白蛋白发生、发展的重要措施。

Microalbuminaria of type 2 diabetes mellitus and its correlated risk factors-analysis of 72 cases

Objective To investigate microalbuminuria(MAU)of type 2 diabetes mellitus,its correlated risk factors and interrentinon steps.Methods We determined MAU of 72 cases with type 2 diabetes mellitus,checked height and body weight,calculated body mass index(BMI),tested blood pressure(BP),fasting blood glucose(FBG),glucosylated hemoblobin(GHbALC) and blood lipid lerel and fundus examination.Results MAU of 28 cases(40%) was positive,these cases had sygnificanthy hygher BP,FBG, GHbALC,BMI,blood cipid and fumdus oculi disease than mormal MAU patients with 2 type diabetes mellitus.Conclusion Eealy measure ment of MAU and intensyve control of blood glucose.lipid and BP and body weight play inportant roles in retarding genratino and development of MAU of type 2 diabetes mellitus.