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肾功能血清学检验对糖尿病肾病早期诊断的价值

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目的 探讨肾功能血清学检验对糖尿病肾病早期诊断的效果。方法 选取聊城市中医医院 2021 年 3 月—2023 年 2 月收治的糖尿病肾病患者 40 例作为观察组,选择同时期来聊城市中医医院接受体检的健康人 40 例作为对照组。同时将糖尿病肾病患者分为 1~2 期(n=21)与 3~5 期(n=17),全部参与人员均接受了肾功能血清学检查,对比观察组及对照组、1~2 期以及 3~5 期的肾功能血清学指标。结果 对照组空腹血糖、餐后 2 h血糖、糖化血红蛋白以及同型半胱氨酸水平分别为(8。05±1。12)mmol/L、(11。20±1。45)mmol/L、(7。69±0。92)%、(13。64±3。99)μmol/L,观察组分别为(8。61±1。23)mmol/L、(12。65±2。63)mmol/L、(8。31±1。25)%、(16。56±6。14)μmol/L,观察组与对照组相比血糖指标中空腹血糖、餐后 2 h血糖、糖化血红蛋白以及同型半胱氨酸水平均较高,差异有统计学意义(P<0。05)。观察组血清尿素氮(blood urea nitrogen,BUN)、肌酐(creatinine,Scr)、β2-微球蛋白(β2-microglobulin,β2-MG)及尿酸(uric acid,UA)水平均高于对照组,差异有统计学意义(P<0。05)。观察组中 3~5 期空腹血糖、餐后 2 h血糖、糖化血红蛋白以及同型半胱氨酸水平均高于 1~2 期,差异有统计学意义(P<0。05)。观察组中 3~5 期血清BUN、Scr、β2-MG及UA水平均高于 1~2 期,差异有统计学意义(P<0。05)。结论 肾功能血清学检查在糖尿病肾病患者诊断工作中可取得较好的效果,能够为接下来疾病的诊断及治疗提供可靠依据。
The Value of Renal Function Serological Tests in the Early Diagnosis of Diabetic Nephropathy
Objective To explore the effect and value of renal function serological test in early diagnosis of diabetes nephropathy.Methods From March 2021 to February 2023,a total of 40 patients with diabetic nephropathy treated at Liaocheng Traditional Chinese Medicine Hospital were selected as the observation group.Forty healthy individuals who came to Liaocheng Traditional Chinese Medicine Hospital for physical examinations during the same period were selected as the control group.Additionally,the patients with diabetic nephropathy were divided into stages 1-2(n=21)and stages 3-5(n=17).All participants underwent renal function serological tests,and the renal function serological indicators were compared between the observation group and the control group,as well as between stages 1-2 and stages 3-5.Results The fasting blood glucose,2-hour postprandial blood glucose,glycosylated hemoglobin,and homocysteine levels in the control group were(8.05±1.12)mmol/L,(11.20±1.45)mmol/L,(7.69±0.92)%,and(13.64±3.99)μmol/L,respectively,while the observation group were(8.61±1.23)mmol/L,(12.65±2.63)mmol/L,(8.31±1.25)%,and(16.56±6.14)μmol/L,respectively,compared with the control group,the fasting blood glucose,2-hour postprandial blood glucose,glycated hemoglobin,and homocysteine levels in the observation group were higher,and the difference was statistically significant(P<0.05).The levels of serum blood urea nitrogen(BUN),creatinine(Scr),β2-microglobulin(β2-MG),and uric acid(UA)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The fasting blood glucose,2-hour postprandial blood glucose,glycated hemoglobin,and homocysteine levels in the observation group were higher in stages 3-5 than in stages 1-2,and the differences were statistically significant(P<0.05).The serum levels of BUN,Scr,β2-MG,and UA in stages 3-5 of the observation group were higher than those in stages 1-2,and the differences were statistically significant(P<0.05).Conclusion The renal function serological examination can achieve good results in the diagnosis of diabetes nephropathy patients,and can provide reliable basis for the diagnosis and treatment of the following diseases.

kidney functionblood sugardiabetic nephropathydiagnosisbasisvalue

雷云静、梁庆伟

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聊城市中医医院检验科,山东 聊城 252000

肾功能 血糖 糖尿病肾病 诊断 依据 价值

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(13)