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糖尿病肾病(DN)是糖尿病的严重并发症。临床以高血压,高血糖、蛋白尿、贫血、肾功能不全为特点。随着人均寿命在延长,DN的发病率呈上升趋势。现已成为晚期肾衰的最常见原因。许多糖尿病患者,虽无肾病的临床表现,但肾脏形态与功能已有异常改变。若不能及时进行有效防治,肾脏病理改变将不可逆转。最终发展为糖尿病肾病。我们对我院1994～1995年接诊246例糖尿病(DM)均属于非胰岛素依懒型糖尿病(NIDDM)的中老年患者,其中并发DN48例。现将48例DN患者的7个参数,包括年龄、病程、糖化血红蛋白(GHb)、视网膜病变、血压、血脂、心电图(ECG)中ST-T改变作为变量与246例NIDDM患者中非DN者进行对比分析,现将结果列下。
Diabetic nephropathy (DN) is a serious complication of diabetes. Clinical features of hypertension, hyperglycemia, proteinuria, anemia, renal insufficiency. With the extension of average life expectancy, the incidence of DN is on the rise. Has now become the most common cause of advanced renal failure. Many diabetic patients, although no clinical manifestations of kidney disease, but abnormal kidney morphology and function have been changed. If not timely and effective prevention and treatment, renal pathological changes will be irreversible. Eventually developed into diabetic nephropathy. We admitted to our hospital from 1994 to 1995, 246 cases of diabetes mellitus (DM) are non-insulin dependent lazy-type diabetes (NIDDM) in the elderly, of which complicated by DN48 cases. Seven parameters of 48 patients with DN, including age, course of disease, glycosylated hemoglobin (GHb), retinopathy, blood pressure, lipids, and electrocardiogram (ECG) ST-T changes were used as variables in 246 non-DN NIDDM patients Comparative analysis, the results are listed below.