尿微量白蛋白和尿糖检测对糖尿病早期肾损伤临床意义.docVIP

尿微量白蛋白和尿糖检测对糖尿病早期肾损伤临床意义 　　摘 要 目的：探讨尿微量白蛋白和尿糖检测对糖尿病早期肾损伤的临床意义。方法：选择2014年4月―2016年4月收治的糖尿病早期肾损伤患者80例为观察组，并同时收集体检健康者75人作为对照组，进行尿糖和尿微量白蛋白检测，并对检测结果进行比较。结果：观察组尿糖阳性65例（81.25%），尿微量白蛋白阳性45例（56.25%）；对照组则分别为4例（5.33%）和1例（1.33%），组间差异均有统计学意义（P0.05）。观察组尿微量白蛋白和尿糖含量分别为（42.09±7.23）mg/L和（1.88±0.71）mmol/L，对照组则分别为（13.55±3.91）mg/L和（1.01±0.35）mmol/L，组间差异有统计学意义（P0.05）。结论：检测糖尿病患者的尿糖与尿微量白蛋白含量对判断早期肾损伤有重要意义，有助于肾损伤的早发现和早治疗。 　　关键词 肾损伤；糖尿病；尿糖；尿微量白蛋白 　　中图分类号：R587.1 文献标志码：A 文章编号：1006-1533（2017）16-0018-02 　　Urine albumin and urine glucose detection on the clinical significance of early renal injury in diabetes mellitus 　　SUN Yonghui， LUO Jinyun 　　（Department of Laboratory of Xinggang Central Hospital， Xinyu 338001， Jiangxi Province， China） 　　ABSTRACT Objective： To investigate the urinary albumin and urine sugar detection on the clinical significance of early renal damage in diabetes. Methods： From April 2014 to April 2016 80 cases of early diabetic kidney injury were selected as an observation group， and at the same time， 75 healthy people were collected as a control group， urine glucose and urine albumin were detected， and the detection results were compared. Results： The observation group had 65 cases （81.25%） of positive urine， and 45 cases （56.25%） of positive urinary albumin， the control group had 4 cases （5.33%） and 1 cases （1.33%）， respectively， and the difference between the two groups was statistically significant（P0.05）. Urinary albumin and urine sugar content of the observation group were （42.09±7.23） mg/L and （1.88±0.71） mmol/L， respectively， those of the control group were （13.55±3.91） mg/L and （1.01±0.35） mmol/L， and the difference between the two groups was statistically significant （P0.05）. Conclusion： Detection of urine glucose and urinary albumin content in the patients with diabetes to determine the early renal injury has important significance， and is helpful for early detection and early treatment of kidney injury. 　　KEY WORDS renal injury； diabetes； urine glucose； urin