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调查社区糖尿病患者尿白蛋白/尿肌酐筛查阳性率,为今后的防治工作提供理论基础。方法对2008年7月到2011年4月在本社区糖尿病门诊建档就诊的751名糖尿病患者进行尿白蛋白/尿肌酐(ACR)筛查,排除尿路感染等干扰因素情况下,3次检测中有2次ACR在30~300mg/g可诊断为微量蛋白尿,有2次ACR≥300mg/g则可诊断为大量白蛋白尿。结果 751名糖尿病患者中尿ACR结果:阴性565名,占75.23%;微量蛋白尿164名,占21.84%;大量蛋白尿22名,占2.93%;阳性率为24.77%。讨论社区糖尿病患者存在蛋白尿检出率较高,应予高度关注。
Urine albumin / urinary creatinine screening positive rate of community diabetes mellitus screening for the future prevention and treatment work to provide a theoretical basis. Methods Urine albumin / urinary creatinine (ACR) was screened in 751 diabetic patients diagnosed in our community diabetes clinic from July 2008 to April 2011. Excluding urinary tract infection and other interference factors, 3 tests In 2 ACR 30 ~ 300mg / g can be diagnosed as microalbuminuria, 2 times ACR ≥ 300mg / g can be diagnosed as a large amount of albuminuria. Results Among 751 diabetic patients, urinary ACR results showed that 565 were negative, accounting for 75.23%; 164 were microalbuminuria, accounting for 21.84%; 22 were macroalbuminuria, accounting for 2.93%; the positive rate was 24.77%. Discussion There is a high detection rate of proteinuria in community diabetic patients, which should be highly concerned.