|本期目录/Table of Contents|

[1]苏东峰,聂秀玲,孙丽荣.2型糖尿病合并高尿酸血症临床特征及相关危险因素分析[J].天津医科大学学报,2013,19(06):481.
点击复制

2型糖尿病合并高尿酸血症临床特征及相关危险因素分析
分享到:

《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
19卷
期数:
2013年06期
页码:
481
栏目:
临床医学
出版日期:
2013-11-20

文章信息/Info

Title:
-
作者:
苏东峰聂秀玲孙丽荣
天津医科大学代谢病医院糖尿病痛风科,卫生部激素与发育重点实验室,天津300070
Author(s):
-
关键词:
糖尿病2型高尿酸血症 临床特征危险因素
Keywords:
-
分类号:
R587.2
DOI:
-
文献标志码:
A
摘要:
目的:探讨2型糖尿病合并高尿酸血症临床特征及危险因素。方法:选取2型糖尿病患者421例,根据血尿酸(SUA)水平分为高尿酸(HUA)组118例和正常尿酸(NUA)组303例,测量身高、体质量、血压、空腹静脉血糖(FPG)、血脂、血尿酸、肝肾功能、糖化血红蛋白,24 h尿微量白蛋白(UMA)、总蛋白(UTP)、尿肌酐(UCR)、尿尿酸(UUA)。结果:2型糖尿病合并高尿酸血症患病率为28.03%,HUA组的体质量指数( BMI )、舒张压、TG(甘油三酯)、AST(谷草转氨酶)、GGT(γ-谷氨酰转肽酶)、血肌酐、尿素氮、UCR、UMA、UTP较NUA组明显升高, 而HDL、FEUA 、Ccr均明显低于NUA组。Logistic 回归分析显示体质量指数、TG、血肌酐、尿酸排泄分数、肌酐清除率是 SUA的独立危险因素。结论:糖尿病合并高尿酸血症者存在更明显的肥胖,脂代谢紊乱,肝肾功能损害,是发生高尿酸血症主要原因。
Abstract:
-

参考文献/References:

[1] 陆在英,钟南山.内科学[M].第7版.北京:人民卫生出版社,2008:832-832
[2] Chungtei C. Hyperuricemia and gout among Taiwan Aborigines and Taiwanese-prevalence and risk factors[J]. Chin Med J (Engl), 2003,116(7):965
[3] Yang J, Liu Z, Zhang C,et al. The prevalence of hyperuricemia and its correlates in an inland Chinese adult population, urban and rural of Jinan[J]. Rheumatol Int. 2012. [Epub ahead of print].
[4] Enomoto A, Kimura H, Chairoungdua A, et al. Molecular identification of a renal urate anion exchanger that regulates blood urate levels[J]. Nature,2002,417(6887):447
[5] Nan H, Dong Y, Gao W, et al. Diabetes associated with a low serum uric acid level in a general Chinese population[J]. Diabetes Res Clin Pract, 2007 ,76(1):68
[6] 魏凤江,蔡春友,时文涛,等. 2型糖尿病合并高尿酸血症与胰岛素抵抗、血脂及血压相关性的研究[J].中国糖尿病杂志,2013, 21(2): 97
[7] 霍丽丽,纪立农.血清尿酸水平与糖代谢状况及肌酐清除率的关系[J].中国糖尿病杂志,2008,16(12):732
[8] 何森,陈晓平,蒋凌云,等.中老年人群血尿酸水平和早期肾功能损害[J].中华医学杂志,2010,90(10):658
[9] 谢华,陈敏 ,陈艳秋,等.2型糖尿病患者血尿酸水平与肾脏早期损害关系的研究[J].中华内分泌代谢杂志,2011,27(3):237

相似文献/References:

[1]李 冰,冯 凭.罗格列酮干预糖尿病大鼠脂肪组织CMKLR1及Chemerin基因表达[J].天津医科大学学报,2015,21(06):484.
 LI Bing,FENG Ping.Effect of rosiglitazone on the expression of CMKLR1 and Chemerin mRNA in the adipose tissue of diabetic rat[J].Journal of Tianjin Medical University,2015,21(06):484.
[2]赵一贺,张 畅,牛文彦.电脉冲刺激的骨骼肌细胞条件培养基逆转内皮细胞胰岛素抵抗和功能障碍[J].天津医科大学学报,2017,23(01):1.
 ZHAO Yi-he,ZHANG Chang,NIU Wen-yan.Conditional medium from electric pulse-stimulated C2C12 skeletal muscle cells reverses insulin resistance and endothelial dysfunction in endothelial cells[J].Journal of Tianjin Medical University,2017,23(06):1.
[3]刘 豫,薄志强,张志宏.糖尿病及二甲双胍对上尿路肿瘤术后复发的影响[J].天津医科大学学报,2017,23(01):53.
 LIU Yu,BO Zhi-qiang,ZHANG Zhi-hong.Effect of diabetes mellitus and metformin on intravesical recurrence after radical operation in patients with upper urinary tract urothelial carcinoma[J].Journal of Tianjin Medical University,2017,23(06):53.
[4]周冷潇,韩 涛.慢性乙型病毒性肝炎肝硬化发生肝细胞癌的危险因素分析[J].天津医科大学学报,2017,23(03):214.
 ZHOU Leng-xiao,HAN Tao.Risk factors of hepatocellular carcinoma in patients with hepatitis B virus-related liver cirrhosis[J].Journal of Tianjin Medical University,2017,23(06):214.
[5]郝欣阳,刘洪梅,袁 梦,等.冠心病合并糖尿病患者血清CARP水平与冠脉病变关系的研究[J].天津医科大学学报,2017,23(04):337.
 HAO Xin-yang,LIU Hong-mei,YUAN Meng,et al.Study on the relationship between? serum CARP level??and the severity of coronary artery lesion in patients with coronary artery disease combined with diabetes[J].Journal of Tianjin Medical University,2017,23(06):337.
[6]王开毫,田伟军.糖尿病对胰十二指肠切除术后并发症的影响[J].天津医科大学学报,2017,23(04):354.
 WANG Kai-hao,TIAN Wei-jun.Impact of diabetes mellitus on postoperative complications after pancreaticoduodenectomy[J].Journal of Tianjin Medical University,2017,23(06):354.
[7]李瀚琪,牛文彦.iNOS调节Rab8参与肥胖诱导的胰岛素抵抗[J].天津医科大学学报,2019,25(03):201.
 LI Han-qi,NIU Wen-yan.iNOS participates in obesity-induced insulin resistance by regulating Rab8[J].Journal of Tianjin Medical University,2019,25(06):201.
[8]刘 欣.深部脓肿合并糖尿病患者外科治疗效果分析[J].天津医科大学学报,2019,25(05):504.
 LIU Xin.Effect of surgical treatment on patients with deep abscess complicated with diabetes mellitus[J].Journal of Tianjin Medical University,2019,25(06):504.
[9]吴楚姗 综述,郑荣秀 审校.黏膜相关恒定T细胞(MAIT)在糖尿病发生发展中的作用研究进展[J].天津医科大学学报,2020,26(03):284.
[10]寇川,梁艳,张畅,等.衍生物Fla-CN的抗糖尿病作用及其作用机制研究[J].天津医科大学学报,2020,26(04):317.
 KOU Chuan,LIANG Yan,ZHANG Chang,et al.Study on the anti-diabetic effect and mechanism of the derivative Fla-CN[J].Journal of Tianjin Medical University,2020,26(06):317.
[11]王树峰,杨 丽,刘 寅.脂蛋白相关磷脂酶A2与冠心病和2型糖尿病的关系[J].天津医科大学学报,2013,19(06):456.
 WANG Shu-feng,YANG Li,LIU Yin.Relationship between lipoprotein-associated phospholipase A2 and coronary heart disease as well as type 2 diabetes mellitus[J].Journal of Tianjin Medical University,2013,19(06):456.
[12]武 鑫,李明珍,孙丽荣.2型糖尿病患者血清γ-谷氨酰转移酶与胰岛β细胞功能的关系[J].天津医科大学学报,2014,20(02):147.
 WU Xin,LI Ming-zhen,SUN Li-rong.Association of serum gamma-glutamyltransferase with islet β cell function in type 2 diabetic patients[J].Journal of Tianjin Medical University,2014,20(06):147.
[13]刘 芳,李明珍,孙丽荣.住院2型糖尿病患者睡眠质量与血糖及并发症的关系[J].天津医科大学学报,2014,20(03):213.
 LIU Fang,LI Ming-zhen,SUN Li-rong.Relationship between sleep quality and glucose level as well as diabetic complications in hospital patients with type 2 diabetes mellitus[J].Journal of Tianjin Medical University,2014,20(06):213.
[14]李凤英,朱铁虹.中年男性2型糖尿病患者促甲状腺激素与尿钙/肌酐比值的相关性研究[J].天津医科大学学报,2014,20(05):389.
 LI Feng-ying,ZHU Tie-hong.Relationship between thyroid stimulating hormone and urinary calcium/creatinine excretion in middle-aged man with type 2 diabetes[J].Journal of Tianjin Medical University,2014,20(06):389.
[15]谭艳萍,吴校伟,刘 寅,等. 冠心病合并糖尿病患者药物涂层支架术后观察[J].天津医科大学学报,2014,20(05):414.
[16]陈河清,郭秀梅,金力里.2型糖尿病患者牙周病与糖尿病肾病的相关性分析[J].天津医科大学学报,2014,20(06):469.
 CHEN He-qing,GUO Xiu-mei,JIN Li-li. Correlation between diabetic nephropathy and periodontal disease[J].Journal of Tianjin Medical University,2014,20(06):469.
[17]马 静,赵立华,谢 云.血浆纤维蛋白原与糖尿病肾病的相关性研究[J].天津医科大学学报,2015,21(03):60.
 Ma Jing,ZHAO Li-hua,XIE Yun.Relationship between plasma fibrinogen concentration and diabetic nephropathy [J].Journal of Tianjin Medical University,2015,21(06):60.
[18]马 静,赵立华,谢 云. 血浆纤维蛋白原与糖尿病肾病的相关性研究[J].天津医科大学学报,2015,21(01):60.
 MA Jing,ZHAO Li-hua,XIE Yun.Relationship between plasma fibrinogen concentration and diabetic nephropathy[J].Journal of Tianjin Medical University,2015,21(06):60.
[19]姚 旻,赵爱源,张晓会,等.人体肥胖指数与2型糖尿病肾病的相关性研究[J].天津医科大学学报,2016,22(03):230.
 YAO Min,ZHAO Ai-yuan,ZHANG Xiao-hui,et al.Study on the relationship between body adiposity index and diabetic nephropathy in patients with type 2 diabetes mellitus[J].Journal of Tianjin Medical University,2016,22(06):230.
[20]任亚女,董作亮,罗慧景,等.甲状腺功能正常的2型糖尿病患者甲状腺激素水平与慢性并发症的相关性分析[J].天津医科大学学报,2023,29(05):466.
 REN Ya-nyu,DONG Zuo-liang,LUO Hui-jing,et al.Association between thyroid hormone levels and chronic complications in euthyroid patients with type 2 diabetes mellitus[J].Journal of Tianjin Medical University,2023,29(06):466.

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2013-12-20