肾脏超声检查在不同时期糖尿病肾病患者诊治中的价值

发布时间：2018-04-27 05:30

本文选题：糖尿病肾病 + 肾脏超声　；参考：《中国老年学杂志》2017年02期

【摘要】：目的研究不同时期糖尿病肾病(DN)患者肾脏超声检查的结果。方法 2型糖尿病患者250例,依据尿白蛋白排泄率(UAER)的不同分为A组(30 mg/24 h)80例,B组(30~300 mg/24 h)86例,C组(300 mg/24 h)84例,另选同期在医院进行健康体检的志愿者81例作为对照组,比较各组患者肾脏实质改变的分级,肾脏超声检查结果及肾主动脉(MRA)与段动脉(SRA)相关血流参数。结果 A组肾脏实质改变的分级与对照组比较无统计学差异(P0.05);B组和C组明显高于对照组(P0.05);A组肾脏长径明显大于对照组,B组皮质厚度及髓质厚度明显小于对照组,C组肾脏长径和皮质厚度及髓质厚度均明显小于对照组(P0.05);A组MRA与SRA的阻力指数(RI)均明显高于对照组,B组和C组MRA及SRA动脉收缩期的峰值速度(PSV)、舒张末期流速(EDV)均明显低于对照组,RI、搏动指数(PI)均明显高于对照组(均P0.05)。结论肾脏超声检查可以对不同阶段DN患者的病情进行评价,有利于早期发现DN,对临床诊断与治疗均具有重要意义。
[Abstract]:Objective to study the results of renal ultrasonography in patients with diabetic nephropathy (DN) at different stages. Methods two hundred and fifty patients with type 2 diabetes mellitus were divided into two groups according to urinary albumin excretion rate (UAERA): group A (n = 80) and group B (n = 80): group B (n = 86): group C (n = 86); The grade of renal parenchyma, the results of renal ultrasound, and the blood flow parameters of renal aorta and segmental artery (SRAs) were compared in each group. Results the grade of renal parenchyma changes in group A was not significantly different from that in control group. Group B and group C were significantly higher than those in control group (P 0.05). The thickness of cortex and medulla in group A was significantly larger than that in group B (P 0.05) and the thickness of medulla in group B was significantly lower than that in group C (P 0.05). The renal long diameter, cortical thickness and medullary thickness in group A were significantly lower than those in group A (P 0.05). The resistance index (RI) of MRA and SRA in group A was significantly higher than that in group B and group C (P < 0.05). The peak systolic velocity of MRA and SRA in group B and C were significantly higher than those in group B and C, and the end diastolic velocity was significantly higher than that in group A. The RI, pulsatile index and pulsatile index of the control group were significantly higher than those of the control group (P 0.05). Conclusion Ultrasonography of kidney can evaluate the condition of DN patients at different stages, which is helpful for early detection of DN, and is of great significance for clinical diagnosis and treatment.
【作者单位】：哈励逊国际和平医院超声科;哈励逊国际和平医院肾内科;
【基金】：衡水市科技计划项目(14010A)
【分类号】：R587.2;R692.9;R445.1

【相似文献】