Objective To explore the diagnostic value of diabetic retinopathy(DR)in diabetic kidney disease(DKD)in patients with type 2 diabetes.Methods Retrospective analysis of clinical data of 277 patients with T2DM from January to December 2020.According to the presence of DKD and DR,the clinical characteristics of the patients were compared,and the blood routine,blood glucose,blood lipids,inflammatory markers(PLR,NLR,SII),kidney injury indicators(eGFR,uric acid,urea nitrogen,SCr,urinary microalbumin,24-hour urinary albumin)were analyzed.The consistency of disease risk factors was analyzed.Logistic regression model was used to screen the independent risk factors of DKD and DR respectively.Results According to the statistical analysis,54.7%of patients with diabetic kidney disease were not complicated with DR,and 41.1%of patients with DR were not complicated with diabetic nephropathy.The positive predictive value of DR for DKD was 58.9%,and the negative predictive value was 65.8%.DKD and DR were associated with high systolic blood pressure,long course of disease,high level of PLR,Scr,urea nitrogen,urinary microalbumin,24-hour urinary microalbumin,UACR and low level of albumin,Hb,eGFR.Patients in the DKD group had higher uric acid,while patients with DR had higher diastolic blood pressure.Conclusion DR and DKD are microvascular complications with the highest incidence of diabetes.They have many common risk factors,but there are significant differences in patients with type 2 diabetes.The diagnostic efficacy of DR in patients with type 2 diabetes mellitus complicated with DKD is poor.
Type 2 diabetesDiabetic kidney diseaseDiabetic retinopathyDiscordance
NETL
NSTL
万方数据
