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目的观察为期两年的多因素强化干预治疗对2型糖尿病(T2DM)患者尿白蛋白/肌酐比率(UACR)的影响。方法对102例T2DM患者强化控制血糖、血压和血脂,随访2年,追踪观察强化控制前后的85例患者血糖、血压、血脂、BMI和UACR的变化,并进行相关及回归分析。结果T2DM患者血糖、血压和血脂强化治疗后,UACR降低[(31±26)mg/gvs(44±46)mg/g,P<0.05];相关及回归分析显示糖化血红蛋白和收缩压的变化值与UACR变化值呈显著正相关(r值分别为0.507和0.358,P<0.05),糖化血红蛋白和收缩压的变化值是影响UACR变化的主要因素。结论血糖、血压及血脂的强化控制,尤其是严格控制糖化血红蛋白及收缩压,能降低T2DM患者的UACR,减低糖尿病并发症发生的风险。
Objective To observe the effect of two-year multi-factor intensive intervention on urinary albumin / creatinine ratio (UACR) in type 2 diabetes mellitus (T2DM). Methods Blood glucose, blood pressure and lipids were intensively controlled in 102 patients with T2DM. The patients were followed up for 2 years. The changes of blood glucose, blood pressure, blood lipid, BMI and UACR in 85 patients before and after intensive control were followed up and analyzed. Results The blood glucose, blood pressure and blood lipid in T2DM patients after treatment, UACR decreased [(31 ± 26) mg / gvs (44 ± 46) mg / g, P lt; 0.05]; correlation and regression analysis showed that changes in the value of glycosylated hemoglobin and systolic blood pressure (R = 0.507 and 0.358, respectively, P <0.05). The changes of HbA1c and systolic blood pressure were the main factors affecting the changes of UACR. Conclusion The intensive control of blood glucose, blood pressure and blood lipids, especially strict control of HbA1c and systolic blood pressure, can reduce UACR in T2DM patients and reduce the risk of diabetic complications.