首页|糖尿病与糖尿病肾病早期患者在炎性因子等检验指标的差异比较分析

糖尿病与糖尿病肾病早期患者在炎性因子等检验指标的差异比较分析

Comparison of Inflammatory Factors and Other Test Indexes between Dia-betic and Early Diabetic Nephropathy Patients

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目的 探讨糖尿病与糖尿病肾病早期患者炎性因子等检验指标的差异性.方法 选取2022年6月—2023年5月昆明市中医医院收治的66例糖尿病肾病患者作为肾早组,选择同期收治的66例糖尿病未合并肾病患者作为非肾病组,另选择同期在本院健康体检的66例健康者作为对照组.统计3组患者的肾功能指标、血糖指标及胰岛素功能,以及炎性因子水平,对比3组患者指标水平差异.结果 肾早组白细胞介素-1β(0.41±0.13)ng/mL、白细胞介素-6(13.41±0.57)ng/L、白细胞介素-8(27.10±2.75)ng/L、肿瘤坏死因子-α(12.85±1.89)ng/mL和超敏C-反应蛋白(7.13±1.16)mg/L水平显著高于非肾病组的(0.22±0.05)ng/mL、(9.63±1.27)ng/L、(22.48±3.26)ng/L、(8.56±1.33)ng/mL、(3.23±0.82)mg/L,差异有统计学意义(P均<0.05).对照组患者各项炎性因子指标显著低于非肾病组和肾早组,差异有统计学意义(P均<0.05).肾早组患者的血糖水平显著高于非肾病组,差异有统计学意义(P<0.05).对照组患者各血糖指标、胰岛素功能指标与非肾病组和肾早组比较,差异有统计学意义(P均<0.05).结论 糖尿病肾病患者炎症反应状态,较糖尿病非肾病患者炎症反应更为显著,肾功能指标下降显著,且存在血糖升高、胰岛素功能减退问题,应全年检测糖尿病患者多检验指标,及时发现异常并处理,降低糖尿病并发症发生风险.
Objective To investigate the difference of inflammatory factors and other test indexes between diabetic pa-tients and early diabetic nephropathy patients.Methods 66 patients with diabetic nephropathy admitted to Kunming Hospital of Traditional Chinese Medicine from June 2022 to May 2023 were selected as the renal early group,and 66 patients with diabetes without renal disease admitted during the same period were selected as the non-renal group.66 healthy subjects who underwent physical examination in the hospital during the same period were selected as the con-trol group.The renal function indexes,blood glucose indexes and insulin functions of patients in the three groups were counted,and the levels of inflammatory factors were counted,and the differences in the levels of indicators among the three groups were compared.Results Interleukin-1β(0.41±0.13)ng/mL,interleukin-6(13.41±0.57)ng/L,interleu-kin-8(27.10±2.75)ng/L,tumor necrosis factor-α(12.85±1.89)ng/mL and hypersensitive C-reactive protein(7.13±1.16)mg/L in renal early group were significantly higher than that of the non-renal group(0.22±0.05)ng/mL,(9.63±1.27)ng/L,(22.48±3.26)ng/L,(8.56±1.33)ng/mL,(3.23±0.82)mg/L,and the differences were statistically significant(all P<0.05).The inflammatory factor indexes of control group were significantly lower than that of non-renal group and renal early group,and the differences were statistically significant(all P<0.05).The blood glucose level in renal early group were significantly higher than that in non-renal group,and the difference was statistically significant(P<0.05).The blood glucose indexes and insulin function indexes of control group were significantly different from those of non-renal group and renal early group,and the differences were statistically significant(both P<0.05).Conclusion The inflammatory response of diabetic nephropathy patients is more significant than that of diabetic non-renal pa-tients,and renal function indicators are significantly decreased,and there are problems of elevated blood glucose and decreased insulin function.Diabetic patients should be tested for multiple test indicators throughout the year,timely detection and treatment of abnormalities to reduce the risk of diabetic complications.

Diabetes mellitusDiabetic nephropathyEarly stage patientsInflammatory factorsIndex difference

李妮、王柔钧

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昆明市中医医院检验科,云南昆明 650504

昆明市中医医院内分泌科,云南昆明 650504

糖尿病 糖尿病肾病 早期患者 炎性因子 指标差异

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(1)
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