经过年龄和性别调整的估计膜过率定义显示,过是2型糖尿病功能恶化的危险因素
Wei-Lun Wen1, Yau-Jiunn Lee1, Der-Wei Hwu1
1Department of Internal Medicine, Lee's Endocrinology Clinic, Pingtung City, Taiwan.
Diabetes, obesity & metabolism
|February 2, 2024
概括
糖尿病病 (DKD) 的过患者表现出更快的功能下降. 识别过会改善DKD进展的预测,特别是当与白尿结合时.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内分泌学 在内分泌学.
- 糖尿病学 糖尿病学
背景情况:
- 糖尿病病 (DKD) 是2型糖尿病 (T2D) 的一个主要并发症.
- 在一些T2D患者中观察到淋巴细胞过率 (GFR) 升高的淋巴细胞过率.
- 过在DKD进展中的作用需要进一步阐明.
研究的目的:
- 评估过和T2D患者糖尿病病进展之间的关联.
- 确定过是否是快速发展DKD的独立风险因素.
主要方法:
- 在7563名T2D患者的回顾性观察队列研究中,eGFR≥60mL/min/1.73m2.
- 患者分为过 (eGFR>95百分位) 和正常过组.
- 线性混合效应模型和Cox回归用于分析eGFR下降和DKD进展.
主要成果:
- 7.2%的T2D患者表现出过.
- 过组的EGFR下降率显著更高 (-2.0比-1.1毫升/分钟/1.73米2/年).
- 过与快速DKD进展的1.66倍风险增加有关,随着albuminuria进一步升高.
结论:
- 淋巴细胞过是T2D中加速DKD进展的重要危险因素.
- 将过状态纳入风险评估可以提高DKD进展预测.
- 这一发现可能会改进当前管理DKD的临床指南.
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