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论文摘要

血尿酸对糖代谢异常患者肾功能的影响

Effect of Serum Uric Acid on Renal Function of Patients with Abnormal Glucose Metabolism

作者:吕熙, 梁利波, 唐国华等

Author:LYU Xi, LIANG Li-bo, TANG Guo-hua. et al

收稿日期:          年卷(期)页码:2015,46(5):754-758

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:空腹血糖受损 糖尿病 高尿酸血症 肾功能

Key words:Impaired fast glucose Diabetes mellitus Hyperuicemia Renal function

基金项目:

中文摘要

目的 探讨高尿酸血症(HUA)对糖代谢异常患者肾功能的影响,研究干预尿酸水平在防治此人群肾功能不全中的临床价值。方法 选取2014年5月在我院体检中心行健康体检者1 495例,检测血清血糖、肾功能指标和血脂,计算估计肾小球滤过率(eGFR)。糖尿病(DM)组〔空腹血糖(FPG)≥7.0 mmol/L〕,共253例(男性227例,女性26例);空腹血糖受损(IFG)组(FPG水平为6.1~7.0 mmol/L),共692例(男性556例,女性136例);对照组为FPG 水平正常的体检者(正常FPG组)550例(男性405例,女性145例)。进一步根据血尿酸水平将上述3组各分为血尿酸正常和HUA亚组,统计HUA的患病情况,分析比较各组肾功能和血脂水平。用eGFR≤50 mL/(min·1.73 m 2)和血清肌酐(SCr)≤1.7 μg/mL 作为评估标准,计算患者的肾功能不全检出率。结果 1 495例研究人群中, IFG合并HUA者197例,占13.18%,男女比为4.05∶1;DM合并HUA者66例,占4.41%,男女比为7.25∶1。正常FPG组、IFG组和DM组内,与血尿酸正常亚组相比,HUA亚组尿素氮(BUN)、SCr均升高,eGFR均降低,差异有统计学意义( P P P>0.05)。在IFG合并HUA组,其肾功能和血脂指标均差于单纯DM组( P P

英文摘要

Objective To determine the effect of serum uric acid on renal function of patients with abnormal glucose metabolism. Methods A total of 1 495 people who took physical examinations in West China Hospital of Sichuan University in May 2014 were recruited in this study. Serum nitrogen (BUN), creatinine (SCr), triglycerides (TG), cholesterol (TC), high-density lipoprotein (HDL-C), low-density lipoprotein (LDL-C) and uric acid (SUA) of the participants were detected by an automatic biochemical analyzer. The glomerular filtration rate (eGFR) was calculated with CKD-EPI. According to hyperuriceima (HUA), the participants were divided into groups with impaired fasting glucose (IFG), diabetes (DM), IFG with hyperuicimia, and DM with hyperuricemia. The participants with normal fasting plasma glucose served as controls. Renal dysfunction was detected using eGFR≤50 mL/(min·1.73 m2) and SCr≤1.7 μg/mL. Results About 13.18% (197/1 495) participants were identified as IFG with HUA: male (158) /female (39) ratio =4.05; 4.41% (66/1 495) as DM with HUA: male (58) /female (8) ratio =7.25. Participants with HUA in the control, IFG and DM groups had higher levels of [CM(155.3mm]BUN and SCr and lower levels of eGFR than those without HUA (PPP>0.05). DM patients without HUA had better renal function and serum lipid levels than those who had HUA in their early stage of abnormal glucose metabolism (IFG with HUA) (PP

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