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医学临床研究  2025, Vol. 42 Issue (4): 670-672    DOI: 10.3969/j.issn.1671-7171.2025.04.031
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血液生化指标与糖尿病合并高血压患者肾损伤的相关性分析
赵丽秦1, 陈芳芳2*
1.陕西省宝鸡市眉县人民医院检验科,陕西 宝鸡 722300;
2.陕西省勉县医院检验科,陕西 汉中 724200
Correlation Analysis of Blood Biochemical Indicators and Kidney Injury in Patients with Diabetes and Hypertension
ZHAO Liqin, CHEN Fangfang
Department of Laboratory, Meixian People's Hospital, Baoji Shaanxi 722300
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摘要 【目的】探讨血液生化指标与糖尿病合并高血压患者肾损伤的相关性。【方法】320例糖尿病合并高血压患者,根据是否发生肾损伤分为无损伤组(152例)和损伤组(168例)。所有患者均接受相关血液生化指标检测,分析各项指标与糖尿病合并高血压患者肾损伤发生的相关性,并采用多因素Logistic回归分析其影响因素。【结果】两组患者空腹血糖(FBG)、餐后2 h血糖(2hPG)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)水平比较,差异无统计学意义(P>0.05)。损伤组糖化血红蛋白(HbA1c)、胱抑素C(cys C)、血肌酐(Scr)、血清β2微球蛋白(β2-MG)水平高于无损伤组(P<0.05)。血清HbA1c、cys C、Scr、β2-MG水平与糖尿病合并高血压患者肾损伤的发生呈正相关(P<0.05)。Logistic回归分析结果显示,HbA1c、cys C、Scr、β2-MG水平是高血压患者肾损伤发生的重要影响因素(OR>1,P<0.05)。【结论】血清HbA1c、cys C、Scr和β2-MG水平与糖尿病合并高血压患者肾损伤的发生存在显著正相关性,且是肾损伤发生的重要影响因素,可为临床提供参考。
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赵丽秦
陈芳芳
关键词 糖尿病高血压肾损伤数据相关性    
Abstract:【Objective】 To explore the correlation between blood biochemical indicators and kidney injury in patients with diabetes combined with hypertension.【Methods】 A total of 320 patients with diabetes combined with hypertension were divided into a non-injury group (152 cases) and a kidney injury group (168 cases) based on the presence or absence of kidney injury. All patients underwent relevant blood biochemical tests, and the correlation between various indicators and the occurrence of kidney injury was analyzed. Multi-factor logistic regression was used to identify the influencing factors.【Results】 There was no significant difference in fasting blood glucose (FBG), 2-hour postprandial blood glucose (2hPG), total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) between the two groups (P>0.05). The levels of glycated hemoglobin (HbA1c), cystatin C (cys C), serum creatinine (Scr), and serum β2-microglobulin (β2-MG) in the kidney injury group were higher than those in the non-injury group (P<0.05). Serum HbA1c, cys C, Scr, and β2-MG levels were positively correlated with the occurrence of kidney injury in patients with diabetes combined with hypertension (P<0.05). Logistic regression analysis showed that HbA1c, cys C, Scr, and β2-MG levels were important influencing factors for the occurrence of kidney injury (OR>1, P<0.05).【Conclusion】 Serum levels of HbA1c, cys C, Scr, and β2-MG are significantly positively correlated with the occurrence of kidney injury in patients with diabetes combined with hypertension, and these indicators are important influencing factors for occurrence of kidney injury, which can provide reference for clinical practice.
Key wordsDiabetes Mellitus    Hypertension    Kidney Injury    Correlation of Data
收稿日期: 2024-10-23     
中图分类号:  R587.1  
通讯作者: *E-mail:chenff13369@163.com   
引用本文:   
赵丽秦, 陈芳芳. 血液生化指标与糖尿病合并高血压患者肾损伤的相关性分析[J]. 医学临床研究, 2025, 42(4): 670-672.
ZHAO Liqin, CHEN Fangfang. Correlation Analysis of Blood Biochemical Indicators and Kidney Injury in Patients with Diabetes and Hypertension. JOURNAL OF CLINICAL RESEARCH, 2025, 42(4): 670-672.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.04.031     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I4/670
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