社区高血压糖尿病患者尿微量白蛋白筛查意义.docVIP

社区高血压糖尿病患者尿微量白蛋白筛查意义 　　[摘要] 目的 探讨社区高血压、糖尿病患者周期性体检尿筛查微量白蛋白的意义。 方法 236例社区管理的高血压病、糖尿病患者分为单纯高血压病/糖尿病（A组）、高血压病合并糖尿病（B组），尿微量白蛋白（mALB）和尿素氮（BUN）进行测定。 结果 本次研究?Y果显示，B组患者的尿微量白蛋白高于A组患者的（P0.05）；A、B组患者10年病程以下mALB在0～25mg/L和≥25mg/L例数均多于10年病程以上的例数（P0.05），Scr在97μmol/L和≥97μmol/L例数均多于10年病程以上的的例数（P0.05）；10年病程以下，A组患者的mALB和Scr在各区段例数均多于B组患者例数（P0.05），在10年病程以上，A组患者的mALB和Scr在各区段人数均多于B组患者例数（P0.05）。 结论 mALB可作为社区糖尿病及高血压患者周期性体检的常规筛查指标。 　　[关键词] 社区；2 型糖尿病；高血压；微量白蛋白尿 　　[中图分类号] R544.1；R587.1 [文献标识码] A [文章编号] 2095-0616（2017）07-171-04 　　Significance of urinary albumin screening for patients with hypertension and diabetes in community 　　KUANG Mengqi XIE Lina LIU Liang WU Xiaoqiu 　　Shenzhen Luohu Hospital Group， Shenzhen 518000， China 　　[Abstract] Objective To explore the significance of urinary albumin screening in periodic physical examination of patients with hypertension and diabetes in community. Methods 236 cases of hypertension and diabetes in community management were divided into simple hypertension/ diabetes （group A） and hypertension complicated with diabetes （group B）. Urinary albumin （mALB） and blood urea nitrogen （BUN） were detected. Results This study showed that urinary albumin of patients in group B was higher than that of group A （P0.05）. Patients with 0-25 mg/L and ≥25mg/L mALB for duration of less than 10 years in group A and group B were both more than patients with duration of more than 10 years （P0.05）. Number of patients with 97μmol/L and ≥97μmol/L Scr for duration of less than 10 years were both larger than that of patients with duration of more than 10 years （P0.05）. In duration of less than 10 years， the number of patients with mALB and Scr in different sections in group A was larger than that of patients in group B （P0.05）. In duration of more than 10 years， the number of patients with mALB and Scr in different sections in group A was larger than that of patients in group B （P0.05）. Conclusion The mALB can be used as a routine screening index of periodic physical exami