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收集11653例明确诊断为DKD患者的病历资料,根据临床表型分为5组,分析5组患者给予的治疗方案(9种)、复诊次数、预后转归情况。结果 DKD的好转率70.0%,死亡率5.0%,痊愈率15.0%,未愈率10.0%,总有效率72.5%。调查结果表明,就诊时机、病情、治疗方案、复诊次数、是患者预后转归重要影响因素。结论 DKD患者就诊时间晚,就诊时病情属于临床期糖尿病肾病(III型、IV型、V型)高达69.15%,已经失去最佳治疗时期,同时也是导致预后不佳的主要原因。
A total of 11,653 cases of DKD patients were collected and divided into five groups according to their clinical phenotypes. The treatment regimens (9), the number of referrals and the prognosis of the patients were analyzed. Results The improvement rate of DKD was 70.0%, the mortality rate was 5.0%, the cure rate was 15.0%, the unhealed rate was 10.0% and the total effective rate was 72.5%. Survey results show that the timing of treatment, illness, treatment options, the number of referrals, prognosis prognosis of patients is an important factor. Conclusions DKD patients are late for treatment. The patients with clinical symptoms of diabetic nephropathy (type III, type IV, V type) up to 69.15% at the time of diagnosis have lost the optimal treatment period and are also the main reasons leading to poor prognosis.