首页|糖尿病肾病患者高密度脂蛋白水平与机体炎症反应及肾功能的相关性研究

糖尿病肾病患者高密度脂蛋白水平与机体炎症反应及肾功能的相关性研究

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目的:探讨糖尿病肾病患者高密度脂蛋白水平与机体炎症反应及肾功能的相关性。方法:选取广东医科大学附属医院 2021 年 1 月至 2022 年 8 月收治的 40 例糖尿病肾病患者作为观察组,以及同期单纯糖尿病但排除合并肾脏病变者40例为对照组。比较两组患者的血脂、血糖、肾功能指标,炎症因子水平,并分别分析两组患者高密度脂蛋白与炎症因子、肾功能指标的相关性。结果:观察组患者的总胆固醇、三酰甘油、低密度脂蛋白、空腹 8 h血糖、餐后 2 h血糖、糖化血红蛋白、尿素氮和肌酐水平均高于对照组,高密度脂蛋白水平低于对照组,差异均具有统计学意义(P<0。05);观察组患者白细胞介素-1、白细胞介素-6、C反应蛋白和肿瘤坏死因子-α水平高于对照组,差异具有统计学意义(P<0。05);对照组患者的高密度脂蛋白与炎症因子、肾功能指标均无相关性。观察组患者的高密度脂蛋白与白细胞介素-1、白细胞介素-6、C反应蛋白、肿瘤坏死因子-α、尿素氨肌酐水平均呈负相关。结论:糖尿病肾病患者体内高密度脂蛋白水平明显降低,炎症反应和肾损伤明显;其体内高密度脂蛋白水平与炎症因子及肾损伤水平呈负相关。
Correlation between High Density Lipoprotein Level and Inflammatory Response and Renal Function in Patients with Diabetic Nephropathy
Objective To explore the correlation between high density lipoprotein level and inflammatory reaction and renal function in patients with diabetic nephropathy.Methods 40 patients with diabetic nephropathy admitted to the Affiliated Hospital of Guangdong Medical University from January 2021 to August 2022 were selected as an observation group,and 40 patients with simple diabetes but excluding renal lesions during the same period were selected as a control group.The levels of blood lipids,blood glucose,renal function indicators and inflammatory factors in the two groups were compared,and the correlation between high-density lipoprotein and inflammatory factors and renal function indicators in the two groups was analyzed respectively.Results The levels of total cholesterol,triglyceride,low density lipoprotein,fasting 8 h blood glucose,2 h postprandial blood glucose,glycated hemoglobin,urea nitrogen and creatinine in the observation group were higher than those in the control group,but the levels of high density lipoprotein were lower than those in the control group,with statistical significance(P<0.05).The levels of interleukin-1,interleukin-6,C-reactive protein and tumor necrosis factor-α in the observation group were higher than those in the control group,with statistically significant(P<0.05).There was no correlation between high density lipoprotein and inflammatory factors or renal function in the control group.The levels of high density lipoprotein in the observation group were negatively correlated with interleukin-1,interleukin-6,C-reactive protein and tumor necrosis factor-α,urea nitrogen,creatinine.Conclusion In diabetic nephropathy patients,the level of high density lipoprotein decreased significantly,and the inflammatory reaction and renal injury were obvious.The levels of high density lipoprotein were negatively correlated with the levels of inflammatory factors and renal injury indicators.

Diabetic nephropathyHigh density lipoproteinInflammatory reactionRenal function

庞国珍、徐小梅、陈伟婵

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广东医科大学附属医院,广东 湛江 524000

糖尿病肾病 高密度脂蛋白 炎症反应 肾功能

湛江市科技计划项目

2019B01170

2024

深圳中西医结合杂志
深圳市中西医结合临床研究所

深圳中西医结合杂志

影响因子:0.692
ISSN:1007-0893
年,卷(期):2024.34(1)
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