首页|超声评估肾动脉血流阻力指数在糖尿病肾病鉴别中的应用

超声评估肾动脉血流阻力指数在糖尿病肾病鉴别中的应用

扫码查看
目的:探究多普勒超声评估肾动脉血流阻力指数(RI)在糖尿病肾病(DKD)与无DKD鉴别中的应用.方法:回顾性分析 84例疑似DKD的 2型糖尿病(T2DM)患者临床资料,均行多普勒超声检查,分为DKD组 44例和无DKD组 40例.结果:DKD组RI值均高于无DKD组(P均<0.05);logistics回归分析显示,IMT、UA、BUN、SCr、β2-MG、HbAlc、CysC是DKD发生的独立危险因素(P均<0.05);RI值鉴定DKD的AUC为 0.865.结论超声检测的肾动脉RI值对DKD具有较高的鉴别效能.
Application of ultrasound evaluation of renal artery blood flow resistance index in differential diagnosis of diabetic kidney disease
Objective:To explore the application of Doppler ultrasound in evaluating renal artery blood flow resistance index(RI)in the differential diagnosis of diabetic kidney disease(DKD)and non-DKD.Methods:The clinical data of 84 patients with type 2 diabetes mellitus(T2DM)who were suspected with DKD were retrospectively analyzed.All patients underwent Doppler ultrasound examination and were divided into DKD group(44 cases)and non-DKD group(40 cases).Results:The RI values of the main renal artery were higher in DKD group than those in non-DKD group(all P<0.05).Logistics regression analysis showed that IMT,UA,BUN,SCr,β2-MG,HbAlc and CysC were independent risk factors for DKD(all P<0.05).The AUC of RI value in identifying DKD was 0.865.Conclusion:The renal artery RI value detected by ultrasonography has a high effective in differentiating DKD.

Diabetic kidney diseaseDoppler ultrasoundBlood flow resistance indexRisk factorsDifferential value

史家安、张洪莉、王艳君、秦朗、茹莹、钱瑾、马续祥

展开 >

凤阳县人民医院肾内科 安徽 滁州 233100

凤阳县人民医院超声科 安徽 滁州 233100

蚌埠医学院第二附属医院肾内科,安徽 蚌埠 233040

糖尿病肾病 多普勒超声 血流阻力指数 危险因素 鉴别价值

2024

现代科学仪器
中国分析测试协会

现代科学仪器

CSTPCD
影响因子:0.329
ISSN:1003-8892
年,卷(期):2024.41(6)