相关实验视频
Updated: May 14, 2025
08:50
Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
16.2K
在西班牙糖尿病患者中评估慢性病:来自内部医学诊所的研究
J Ena1, J Carretero Gómez2, M Suárez Tembra3
1Servicio de Medicina Interna, Hospital Marina Baixa, Villajoyosa, Alicante, Spain.
Revista clinica espanola
|April 11, 2025
概括
慢性病 (CKD) 影响了西班牙近60%的2型糖尿病患者,常常在老年人中出现并发症. 这些患者经常经历营养不良,肉症和虚弱,影响代谢控制策略.
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.
- 内部医学 内部医学
背景情况:
- 2型糖尿病是慢性病 (CKD) 的主要原因之一.
- 了解糖尿病人群中CKD的患病率和特征对于有效管理至关重要.
- 内部医学诊所管理大量患有2型糖尿病和CKD的患者.
研究的目的:
- 为了确定患有2型糖尿病的西班牙人口中慢性病 (CKD) 的患病率和特征.
- 为了确定这个人群中与CKD相关的人口统计学,并发症和临床因素.
主要方法:
- 在25家西班牙医院进行了一项观察性,横截面研究.
- 分析了314名2型糖尿病患者的数据,包括人口,临床,营养和实验室参数.
- 评估了CKD的患病率,营养不良,sarcopenia和脆弱性.
主要成果:
- 近60% (58.9%) 的2型糖尿病患者患有CKD.
- 患有CKD的患者年龄大得多,更有可能是男性,与没有CKD的患者相比,糖尿病的持续时间更长.
- 慢性脏病与营养不良 (37.3%),肉类 (24.6%) 和虚弱 (74.3%) 的更高率密切相关.
结论:
- 在西班牙内科诊所治疗的2型糖尿病患者中,CKD的患病率很高.
- 患有2型糖尿病和CKD的老年患者往往表现为心血管疾病,营养不良,sarcopenia和虚弱.
- 这些相关疾病凸显了对这个患者群体量身定制的代谢控制目标的需要.
相关概念视频
01:17Factors Affecting Renal Clearance: Renal Impairment
35
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
35
01:15Diabetes: Symptoms, Diagnosis, and Complications
486
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
486
01:12Internal Anatomy of the Kidney
1.1K
The kidneys are essential organs in the human body, performing a myriad of tasks that maintain homeostasis and overall health.
Anatomical Position and Dimensions
The kidneys are retroperitoneal organs positioned against the posterior abdominal wall on either side of the spine, roughly between the twelfth thoracic and third lumbar vertebrae. Each kidney is typically 10-12 cm long, 5-6 cm wide, and 3-4 cm thick, weighing about 150 grams.
Renal Cortex
The outermost region of the kidney is the...
Anatomical Position and Dimensions
The kidneys are retroperitoneal organs positioned against the posterior abdominal wall on either side of the spine, roughly between the twelfth thoracic and third lumbar vertebrae. Each kidney is typically 10-12 cm long, 5-6 cm wide, and 3-4 cm thick, weighing about 150 grams.
Renal Cortex
The outermost region of the kidney is the...
1.1K
01:11Renal Failure: Dose Adjustments
37
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
37
01:33Hormonal Regulation
32.7K
The renin-aldosterone system is an endocrine system which guides the renal absorption of water and electrolytes, thus managing blood pressure and osmoregulation. Activation of the system begins in the kidneys with a small cluster of cells adjacent to the afferent and efferent blood vessels of the renal corpuscle. As the nephrons are filtering blood, juxtaglomerular cells monitor blood pressure. If they detect a decrease in pressure, they release the hormone renin into the bloodstream.
32.7K
01:27Dialysis
233
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
233