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2型糖尿病肾病患者血同型半胱氨酸变化及意义分析
引用本文:邓利娟,吴永新. 2型糖尿病肾病患者血同型半胱氨酸变化及意义分析[J]. 医学临床研究, 2014, 0(8): 1557-1558
作者姓名:邓利娟  吴永新
作者单位:邓利娟 (广东省梅州市人民医院内分泌科,广东 梅州,514000); 吴永新 (广东省梅州市人民医院内分泌科,广东 梅州,514000);
摘    要:【目的】分析血清同型半胱氨酸(Hcy)在2型糖尿病肾病患者中的变化及其意义。【方法】2012年2月至2013年12月在本院就诊的2型糖尿病(T2DM)患者201例;按照尿白蛋白排泄率测定结果分为A组(单纯糖尿病64例)、B组(糖尿病并早期肾病72例)、C组(糖尿病并临床期肾病65例)、以同期健康体检结果正常者53例作为对照组(D组);分别测定其空腹血糖(FBG),肌酐(SCr),血尿素氮(BUN),Hcy等指标并进行统计学分析。【结果】A ,B,C组与D组比较Hcy及其他检测指标水平均显著升高(P <0.05),B、C组除FBG外,其他指标均显著高于A组(P<0.01,P <0.05).【结论】高同型半胱氨酸血症是T2DM并肾病患者主要危险因素。

关 键 词:半胱氨酸/血液  糖尿病肾病/血液  白蛋白尿  危险因素

Change of Homocysteine in Patients with Type 2 Diabetic Nephropathy and Its Significance
DENG Li-juan,WU Yong-xin. Change of Homocysteine in Patients with Type 2 Diabetic Nephropathy and Its Significance[J]. Journal of Clinical Research, 2014, 0(8): 1557-1558
Authors:DENG Li-juan  WU Yong-xin
Affiliation:(Department of Endocrinology, the People's Hospital of Meizhou City, Guangdong 514000, China )
Abstract:[Objective]To analyze the change of serum homocysteine(Hcy) in patients with type 2 diabetic nephropathy and its significance .[Methods] Patients with type 2 diabetes mellitus in our hospital from Feb . 2012 to Dec .2013 were selected .According to urinary albumin excretion rate(UAER) determination results , all patients were divided into group A (simple diabetic group) ,group B(diabetes mellitus with early nephropathy) ,group C(diabetes mellitus with clinical nephropathy ) and group D(normal healthy control group) .FBG , SCr ,BUN and Hcy were measured and analyzed by statistics .[Results] Compared with control group ,Hcy levels in group A ,B and C were markedly increased ,and there was significant difference( P 〈0 .05) .[Conclusion] Hyperhomocysteinaemia is an independent risk factor of type 2 diabetic nephropathy .
Keywords:Cysteine/BL  Diabetic Nephropathies/BL  Albuminuria  Risk Factors
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