查詢結果分析
相關文獻
- Association of Nephropathy and Retinopathy, Blood Pressure, Age in Newly Diagnosed Type 2 Diabetes Mellitus
- 從JNCVI及UKPDS談第二型糖尿病的血壓控制
- 從「英國前瞻性糖尿病研究」談糖尿病的血糖控制
- 從ABCD及FACET臨床試驗談鈣離子阻斷劑在糖尿病病人的使用
- An Update on the Management of Nephropathy in Type 2 Diabetes
- 血管緊縮素-Ⅱ受器拮抗劑對第二型糖尿病及高血壓患者的腎臟保護作用
- 姿勢性低血壓與年齡及姿勢性症狀之關係
- 噪音對人體生理影響之實驗研究(3):3組年齡群的呼吸、心跳及血壓反應之實驗
- 脈波進行速度與動脈硬化危險因子相關性之研究
- 職場中代謝症候群之現況--北臺灣一家醫學中心勞工體檢經驗
頁籤選單縮合
題 名 | Association of Nephropathy and Retinopathy, Blood Pressure, Age in Newly Diagnosed Type 2 Diabetes Mellitus=新診斷第二型糖尿病病人腎臟病變與眼底病變、血壓及年齡之關係 |
---|---|
作 者 | 曾競鋒; 蕭璧容; 謝明家; 辛錫璋; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 17:6 2001.06[民90.06] |
頁 次 | 頁294-301 |
分類號 | 415.6681 |
關鍵詞 | 第二型糖尿病; 腎臟病變; 眼底病變; 血壓; 年齡; 慢性併發症; Type 2 diabetes mellitus; Nephropathy; Retinopathy; Hypertension; |
語 文 | 英文(English) |
中文摘要 | 本研究中,吾等對新診斷第二型糖尿病病患之慢性併發症如腎病變、 眼底病變的盛行率予以調查及討論。在一年的期間內,所有第一次到高雄醫學大 學附設醫院內分泌新陳代謝科門診就診之病患皆接受檢測,空腹血糖值大於140 mg/dl,或葡萄糖耐受試驗兩小時之血糖值大於200 mg/dl者則被列為新診斷之糖 尿病病患。在148名病患中,藉由尿白蛋白排除率及眼底鏡眼底螢光攝影之檢測, 18.2%已併有腎病變,25.5%已併有眼底病變。蛋白尿期的病患之年齡(41.5±3.4 歲)較無腎病變者(51.8±1.0歲)為年輕;蛋白尿期(153.8±13.6/96.8±9.5 毫米 汞柱)或微白蛋白尿期(142.4±6.0/88.8±2.6 毫米汞柱)之病患,收縮壓與舒張 壓均較正常白蛋白尿期(128.3±2.3/81.9±1.1毫米汞柱)之病患為高。但三群病 患之膽固醇、三酸甘油酯、糖化血色素、性別或是肥胖程度則無明顯不同。另外, 我們發現眼底病變與腎病變的嚴重程度成正比關係。根據本研究,糖尿病的慢性 併發症如腎病變、眼底病變,在糖尿病新診斷之初即可能存在,故在糖尿病診斷 時就應該篩檢慢性併發症,尤其是較年輕或有高血壓的病人 |
英文摘要 | In this study, we investigated the prevalence of chronic complications, including nephropathy and retinopathy, in patients newly diagnosed as type 2 diabetes mellitus. All hyperglycemic subjects were recruited into our study when they visited the outpatient department at Kaohsiung Medical University Hospital over a one-year period. These subjects had fasting plasma glucose higher than 140 mg/dl, or plasma glucose higher than 200 mg/dl in the 2nd hour during an oral glucose tolerance test. Among 148 patients registered as newly diagnosed type 2 diabetes mellitus, 18.2% of the patients had nephropathy, noted by measuring their urine albumin excretion rate and daily protein loss, and 25.5% had retinopathy, noted by fundoscope and fluorescent angiography. The age of overt proteinuric patients (41.5?.4 yrs) was significantly younger than those without nephropathy (51.8?.0 yrs) . Systolic and diastolic blood pressure was significantly higher in patients with microalbuminuria (142.4?.0/88.8?.6 mmHg) and overt proteinuria (153.8?3.6 / 96.8?.5 mmHg) than normoalbuminuric patients (128.3?.3/81.9?.1 mmHg). There was no significant difference in cholesterol, triglyceride, HbA1C, sex or body mass index among normoalbuminric, microalbuminuric, or overt proteinuric patients. The severity of retinopathy was parallel with the severity of nephropathy. Based on our results, chronic diabetic complications, including nephropathy and retinopathy, may occur even when diabetes is newly diagnosed. It is necessary to look for complications, especially in newly documented diabetic patients who are young and hypertensive. |
本系統中英文摘要資訊取自各篇刊載內容。