中国血液流变学杂志2024,Vol.33Issue(3) :474-478.DOI:10.3969/j.issn.1009-881X.2024.03.030

糖尿病患者血清ApoA1、ApoB及胆红素表达情况与DN发生的logistic回归分析

Logistic Regression Analysis of Serum ApoA1,ApoB and Bilirubin Expression and DN in Diabetes Patients

徐思涵 赵珂永 程警霈
中国血液流变学杂志2024,Vol.33Issue(3) :474-478.DOI:10.3969/j.issn.1009-881X.2024.03.030

糖尿病患者血清ApoA1、ApoB及胆红素表达情况与DN发生的logistic回归分析

Logistic Regression Analysis of Serum ApoA1,ApoB and Bilirubin Expression and DN in Diabetes Patients

徐思涵 1赵珂永 1程警霈1
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作者信息

  • 1. 南阳医学高等专科学校第一附属医院检验科,河南 南阳 473000
  • 折叠

摘要

目的 分析糖尿病患者血清载脂蛋白A1(ApoA1)、载脂蛋白B(ApoB)及总胆红素(TBIL)表达情况与糖尿病肾病(DN)发生的关系,并用二元logistic回归进行检验.方法 回顾性收集2022年1月—2023年1月医院收治的140 例糖尿病患者临床资料,根据是否发生DN,将患者分为DN组(n=51),非DN组(n=89).比较两组基线资料及实验室指标;采用二元logistic回归检验糖尿病患者血清ApoA1、ApoB及TBIL表达情况与DN发生的关系.结果 DN组糖化血红蛋白(HbA1c)、ApoB、血尿素氮(BUN)、胱抑素C(Cys-C)高于非DN组,ApoA1、TBIL低于非DN组(P<0.05);经logistic回归分析结果显示,HbA1c、ApoB是影响糖尿病患者发生DN的独立危险因素(OR>1,P<0.05),ApoA1、TBIL是保护因素(OR<1,P<0.05).结论 ApoA1、ApoB、TBIL表达情况与糖尿病患者发生DN具有一定相关性.

Abstract

Objective To analyze the relationship between the expression of serum apolipoprotein A1(ApoA1),apolipoprotein B(ApoB)and total bilirubin(TBIL)in patients with diabetes and the occurrence of diabetes nephropathy(DN),and to test with binary logistic regression.Methods Clinical data of 140 patients with diabetes admitted to the hospital from January 2022 to January 2023 were retrospectively collected.According to whether DN occurred,the patients were divided into DN group(n=51)and non DN group(n=89)to compare two sets of baseline data and laboratory indicators.The relationship between the expression of ApoA1,ApoB and TBIL in serum of diabetes patients and the occurrence of DN was examined by binary logistic regression.Results The levels of glycated hemoglobin(HbA1c),ApoB,blood urea nitrogen(BUN),and cystatin C(Cys-C)in the DN group were higher than those in the non DN group,while ApoA1 and TBIL were lower than those in the non DN group(P<0.05).Logistic regression analysis showed that HbA1c and ApoB were independent risk factors for DN in diabetes patients(OR>1,P<0.05),and ApoA1 and TBIL were protective factors(OR<1,P<0.05).Conclusion The expression of ApoA1,ApoB and TBIL has certain correlation with DN in diabetes patients.

关键词

糖尿病/糖尿病肾病/载脂蛋白A1/载脂蛋白B/总胆红素/logistic回归分析

Key words

diabetes/diabetes nephropathy/apolipoprotein A1/apolipoprotein B/total bilirubin/logistic regression analysis

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出版年

2024
中国血液流变学杂志
中国生物医学工程学会,苏州大学

中国血液流变学杂志

影响因子:0.391
ISSN:1009-881X
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