糖尿病肾病患者的脂质代谢状况

Lola Daminova MD, PhD, DSc , Sitorakhon Muminova PhD , Bakhodir Nigmonov PhD
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摘要

目的:本研究旨在评估糖尿病肾病患者的脂质代谢状况。 方法:本研究为开放标签、随机、前瞻性研究。研究纳入了 120 名 2 型糖尿病患者,他们的平均年龄为 58.79 ± 1.27 岁。一般来说,患者平均患糖尿病 7 ± 3.16 年,HbA1C-9.3 ± 1.82 %,BMI-28.05 ± 3.45。计算了非高密度脂蛋白胆固醇水平(非高密度脂蛋白胆固醇 = 总胆固醇 - 高密度脂蛋白)。32; p < 0.01)、甘油三酯(r = -0.51; p < 0.018)、非高密度脂蛋白(r = -0.44; p < 0.01)之间呈中度负相关,而与高密度脂蛋白(r = 0.28; p = 0.01)之间呈弱正相关。此外,A/Cr 指数与血液中的胆固醇(r = -0.37;p <;0.01)、甘油三酯(r = -0.42;p <;0.01)、非高密度脂蛋白(r = -0.35;p <;0.01)/结论因此,对于 2 型糖尿病患者,即使血液中的胆固醇和非高密度脂蛋白水平为参考值或略有升高,也最好测定其血液中的胆固醇水平,以预测 DN。
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The state of lipid metabolism in patients with diabetic nephropathy

Aim

This study aimed to evaluate the state of lipid metabolism in patients with diabetic nephropathy.

Methods

In this open label, randomised, prospective study. The study included 120 patients with type 2 diabetes, whose average age was 58.79 ± 1.27 years. In general, the average diabetes experience was 7 ± 3.16 years, HbA1C-9.3 ± 1.82 %, BMI-28.05 ± 3.45. Non-HDL cholesterol levels were calculated (non-HDL cholesterol = total cholesterol - HDL).

Results

As a result of the analysis, a negative relationship of moderate strength was revealed between eGFRcr levels in the blood of TCh (r = -0.32; p < 0.01), triglycerides (r = -0.51; p < 0.018), non-HDL (r = –0.44; p < 0.01) and weak positive association with HDL (r = 0.28; p = 0.01). Negative relationships were also established between the A/Cr index and the blood level of TCh (r = -0.37; p < 0.01), triglycerides (r = –0.42; p < 0.01), non-HDL (r = – 0.35; p < 0.01)/

Conclusion

Therefore, in patients with type 2 diabetes, it is advisable to determine the level of TG in the blood even with reference or slightly elevated levels of TG and non-HDL to predict DN.
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