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尿白蛋白排泄率在Ⅱ型糖尿病并脑梗塞二级预防中的作用
引用本文:何伟民,张翼,郭树龙.尿白蛋白排泄率在Ⅱ型糖尿病并脑梗塞二级预防中的作用[J].中国组织工程研究与临床康复,1999(2).
作者姓名:何伟民  张翼  郭树龙
作者单位:福建省泉州市第一医院
摘    要:目的:为探讨尿白蛋白排泄率对动脉粥样硬化及脑梗塞的相关关系。方法:将121例Ⅱ型糖尿病分为正常白蛋白尿、微量白蛋白尿、显性白蛋白尿三组,对其血脂、心电图及脑梗塞发病状况进行分析。结果:显示Ⅱ型糖尿病尿白蛋白排泄异常存在着脂代谢紊乱,心电图缺血表现及脑梗塞发生率明显增多,显性白蛋白尿组多发性脑梗塞发生率明显多于微白蛋白尿组。结论:尿白蛋白排泄率不仅是Ⅱ型糖尿病缺血性心脏病有力的预测指标,也可能是并发脑梗塞的危险信号。

关 键 词:Ⅱ型糖尿病尿  白蛋白排泄率  脑梗塞  二级预防

Changes of Urinealbumin Excreation Kate in Patients with Ischemic Heart Disease and Cerebral Infarction
He Weimin,Zhang Yi,Guo Shulong.Quanzhou First Hospital,QuanZhou ..Changes of Urinealbumin Excreation Kate in Patients with Ischemic Heart Disease and Cerebral Infarction[J].Journal of Clinical Rehabilitative Tissue Engineering Research,1999(2).
Authors:He Weimin  Zhang Yi  Guo ShulongQuanzhou First Hospital  QuanZhou
Institution:He Weimin,Zhang Yi,Guo Shulong.Quanzhou First Hospital,QuanZhou 362000.
Abstract:Objective: To investigate the change of urinealbumin excreation rate(UAE)in patients with ischemic heart disease(ISI)and cerebralinfarction(CT).Methods :Seleted on the basis of UAE measurements,121 NIDDM subjects were divided into 3 groups:normoalbuminuric (l group),microalbuminuric(2 group)and macroalbuminuric(3 group).The plasma TC,TG and HDL-ch were measured,12-lead EKG were taken,and the morbidity of CI was analysed.Results :There is lipid metabolism distrubance in NIDDM with nephropathy.the morbidity of multiple cerebral infarction is higher in 3 group than that in 2 group.A significant increase in morbidity of ISD and CI is found in patients with NIDDM.Conclusion:UAE measurement is useful for predicting ISD,and is possibly a signal to CI in patients with NIDDM.
Keywords:NIDDM  Urinealbumin excreation rate  Cerebral infarction  Secondary prevention
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