首页|糖尿病肾病患者血糖与糖化血红蛋白、白蛋白/肌酐比值、肾小球滤过率检验的临床意义

糖尿病肾病患者血糖与糖化血红蛋白、白蛋白/肌酐比值、肾小球滤过率检验的临床意义

Clinical Significance of Blood Glucose,Glycated Hemoglobin,Albumin/cre-atinine Ratio,and Glomerular Filtration Rate Tests in Patients with Dia-betic Nephropathy

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目的 分析糖尿病肾病患者血糖及糖化血红蛋白、白蛋白/肌酐比值、肾小球滤过率的临床检验水平,为诊断及治疗糖尿病肾病提供支持.方法 选取2022年3月—2023年4月济南市济阳区人民医院检验科收治的200例糖尿病肾病患者作为观察组,同期收治的200例糖尿病患者作为对照组,比较两组的血糖及糖化血红蛋白、尿白蛋白/肌酐比值、肾小球滤过率水平差异.结果 两组的餐前血糖和餐后2 h血糖比较,差异无统计学意义(P均>0.05);观察组糖化血红蛋白、尿白蛋白/肌酐比值高于对照组,肾小球滤过率低于对照组,差异有统计学意义(P均<0.05).结论 糖化血红蛋白、白蛋白/肌酐比值、肾小球滤过率为诊断糖尿病肾病的重要指标.
Objective To analyze the clinical test levels of blood glucose,glycated hemoglobin,albumin/creatinine ra-tio,and glomerular filtration rate in patients with diabetic nephropathy,so as to provide support for the diagnosis and treatment of diabetic nephropathy.Methods 200 diabetic nephropathy patients admitted to the laboratory department of Jiyang District People's Hospital of Jinan city from March 2022 to April 2023 were selected as the observation group,200 diabetic patients admitted during the same period as a control group.The differences in blood glucose and glycated hemoglobin,protein/creatinine ratio,and glomerular filtration rate levels were compared between the two groups.Results There was no statistically significant difference between pretreatment and 2-hour postprandial blood glucose between the two groups(both P>0.05).The observation group of hemoglobin and urinary albumin/creatinine ra-tio were higher than the control group,and the glomerular filtration rate was lower than the control group,the differ-ences were statistically significant(all P<0.05).Conclusion Glycosylated hemoglobin,albumin/creatinine ratio,and glomerular filtration rate are important indicators in the diagnosis of diabetic nephropathy.

Diabetic nephropathyBlood glucoseGlycosylated hemoglobin

张辉、骆文军、孙维静

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济南市济阳区人民医院检验科,山东济南 251400

济南市济阳区济北街道社区卫生服务中心检验科,山东济南 251400

糖尿病肾病 血糖 糖化血红蛋白

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(2)
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