踝肱指数与颈动脉内膜-中膜厚度联合测定对糖尿病早期肾病的预测价值

摘要

目的 评价踝肱指数(ABI)与颈动脉内膜-中膜厚度(IMT)联合检测在糖尿病早期肾病中的预测意义.方法 选择2011年4月至2012年9月在内蒙古科技大学包头医学院第一附属医院内分泌科住院的糖尿病患者210例,均测量其ABI和颈动脉IMT,根据ABI和颈动脉IMT的测量结果进行统计学处理,评估糖尿病早期肾病的检出率.结果 伴随着ABI的降低、IMT的增加,糖尿病早期肾病患病率增加,二者联合检测可以提高糖尿病早期肾病的检测率.结论 ABI与IMT可以作为糖尿病早期肾病损害的参考指标,两者联合检测对早期糖尿病肾病诊断更有价值.%Objective To evaluate the predicative significance of combined detection of ankle brachial index(ABI) and carotid intima-media thickness(IMT) in early diabetic nephropathy.Methods Two hundred and ten cases of diabetes mellitus in our hospital (between March 2011 to September 2012) were enrolled,ABI and IMT were tested and analyzed for evaluating the detection rate of early diabetic nephropathy.Results With the levels of ABI decreasing and IMT increasing,the morbidity rate of early diabetic nephropathy increased,and combined detection of ABI and IMT can greatly increase the detection rate of early diabetic nephropathy.Conclusions ABI and IMT in patients with early diabetic nephropathy can be used as the early diagnosis indicators,and combined detection is more valuable in the diagnosis of early diabetic nephropathy.