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349例住院的Ⅱ型糖尿病人,依尿白蛋白排泄量分成:A组正常白蛋白尿(n=133,≤30mg·L-1),B组微量白蛋白尿(n=111.31~200mg·L-1),C组大量白蛋白尿(n=105,>200mg·L-1)。高血压检出率三组分别为15%、25%和47%;缺血性心脏病检出率分别是27%、39%和62%;单纯性视网膜病变检出率分别为38%、41%和63.6%,而增殖性病变三组间差异无意义。B、C组HDL-C和胰岛素敏感性(SI)低于A组,三组间比较P均<0.05;A组与B、C组比较血压(P均<0.05)、TC(P均<0.05)和TG(P均<0.05)均低,而B、C组间差异无显著性。结果提示在Ⅱ型糖尿病人应测尿白蛋白,并应重视微量白蛋白尿对血管病变的预测作用
A total of 349 inpatients with type 2 diabetes mellitus were divided into urinary albumin excretion: group A normal albuminuria (n = 133, ≤30 mg · L-1), group B microalbuminuria (n = 111.31 ~ 200 mg · L-1), group C, a large amount of albuminuria (n = 105,> 200mg · L-1). The detection rate of hypertension was 15%, 25% and 47% respectively in three groups; the detection rates of ischemic heart disease were 27%, 39% and 62% respectively; the detection rates of simple retinopathy were 38%, 41 % And 63.6%, respectively, and no significant difference between the three groups of proliferative lesions. The serum levels of HDL-C and insulin in group B and C were lower than those in group A (P <0.05). The blood pressure in group A was significantly lower than that in group B and C (P <0.05) P <0.05) and TG (P <0.05), but there was no significant difference between B and C groups. The results suggest that urinary albumin should be measured in patients with type II diabetes mellitus, and microalbuminuria should be emphasized on the prediction of vascular lesions