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Diabetic Nephropathy Patients With Fetal Age Of Pregnancy Clinical Study Of The Characteristics Of The Shipment

Posted on:2013-06-08Degree:MasterType:Thesis
Country:ChinaCandidate:Z H YeFull Text:PDF
GTID:2244330371981447Subject:Chinese medical science
Abstract/Summary:PDF Full Text Request
Objective:Through data of existing cases, trying to sort out in diabetic patients born in the year of specific-year-old transportation link between the complications of diabetic nephropathy in the future, to provide a theoretical basis for disease prevention and treatment of TCM, eugenics provided a theoretical complement to the clinical treatment of disease can be further guidance.Methods:Collected a total of436of the January1,2000to February2012,28, Affiliated Dongzhimen Hospital of Beijing University of Chinese Medicine nephropathy Endocrinology, inpatient cases. Among them,277cases of type2diabetes with diabetic nephropathy,159cases of type2diabetic patients without diabetic nephropathy, to collect general demographic data, including name, gender, age, date of birth, as well as some physical and chemical indicators, including diabetic nephropathy stage, combined with other underlying diseases of the urinary albumin24h urinary protein excretion, serum creatinine, blood urea nitrogen, serum albumin, glycated hemoglobin, retrospective statistical analysis of the collection of data indicators through statistical analysis, summarize the link between the tendency to years old shipped with type2diabetes, and to explore type2diabetic nephropathy-year-old transport between the groups in the distribution of various physical and chemical.Results:Collected436cases of patients with diabetic nephropathy and non-diabetic nephropathy are male proportion than women, the proportion is too large, but the gender distribution by x2test,X2=0.7827, P=.3763>0.05, so the two gender distribution of the difference was not statistically significant, no significant difference between the two groups in gender distribut ion.Diabetic nephropathy in the elderly (≥60) cases of a total of159cases, the ratio was57.4%, cases of young people (<60) for a total of118cases,42.6%in non-diabetic nephropathy, the elderly (≥60) cases of a total, of66cases, the ratio was41.5%, a total of93cases of young patients (<60),58.5%, the age distribution of the X2test, X2=10.2145, P=0.0014<0.05, so the two groups the age distribution of the difference was statistically significance, namely, the two groups in age distribution, there are significant differences in the elderly or older than60years of age is one of the risk factors of diabetic nephropathy.Diabetic nephropathy in the course of patients in1year and less than1year the majority of164, the proportion was59.2%, the duration of one year to five years,94cases (33.9%), duration of more than5years19cases, accounting for6.9%, including1-year duration of less than1year accounted for the vast majority.In patients with diabetic nephropathy, Yun of insufficient water, Yun of insufficient soil, the two proportion of patients are higher than other groups, respectively,13.1%(38cases),11.6%(32cases), the smallest overmuch fire Yun and insufficient gold Yun, are8.3%, indicating the lack of water Yun in diabetic nephropathy, the lack of soil Yun patients were more rather than the others. In the non-diabetic nephropathy group. The proportion of patients at the overmuch water Yun compared to other groups is high,13.8%, a minimum of Yun of insufficient soil,less than5.7%. The distribution of Yun of the year is test by the x2test, X2=14.4836, P=0.1061>0.05, therefore, no significant distribution difference of two sets of Yun of the year, the two groups in the distribution of Yun of the year was no significant difference, and currently it can not be considered that the distribution of Yun of the year is unequal in the diabetic nephropathy group and non-diabetic nephropathy group.Diabetic nephropathy patients. Ⅲ in patients with a total of105cases, accounting for37.9%, Ⅳ in patients with a total of110cases, accounting for39.7%, the V patients with a total of61cases, accounting for22.4%indicating that the diabetic nephropathy IV constitute compared with the other of.The group of diabetic nephropathy in hypertensive patients with a total of243cases, accounting for87.7%, non-diabetic nephropathy patients, patients with hypertension and84cases, accounting for52.8%, hypertension circumstances X2test, X2=65.6034, P=0.0001<0.05, so the two groups of hypertension The distribution of the difference was statistically significant, groups with hypertension constitute a significant difference in the distribution ratio, ie, hypertension is a risk factor for diabetic nephropathy.Patients with diabetic nephropathy, coronary heart disease patients with161. cases, accounting for58.1%, non-diabetic nephropathy, coronary heart disease91cases (57.2%), coronary heart disease the situation using the X2test, X2 =9.5517, P=0.002<0.05, so the two groups with coronary heart disease and distribution of the difference was statistically significant, two groups of coronary heart disease than there were significant differences on the distribution, ie, coronary heart disease is a risk factor for diabetic nephropathy.Pat ients wi th cerebrovascular disease in pat ients wi th diabet ic nephropathy, unconsolidated total of198cases, accounting for71.5%, non-diabetic nephropathy patients, patients with cerebrovascular disease unconsolidated total of118cases, accounting for74.2%, combined cerebrovascular disease situation using the X2test, x2=0.3784, P=0.5384>0.05, so the two groups with cerebral vascular disease situation distribution was no significant difference, that the current can not be considered to constitute unequal than the distribution, the two groups in the combined cerebrovascular disease, namely coronary heart disease is still can not be considered to be one of the risk factors of diabetic nephropathy.Patients with diabet ic nephropathy, unconsol idated dyslipidemia in patients with a total of165cases, accounting for56.7%in non-diabetic nephropathy in pat ients with dyslipidemia,88cases (55.3%), dyslipidemia using the x2test, X2=6.8207, P=0.009<0.05, so the two groups with dyslipidemia distribution difference was statistically significant, groups with dysl ipidemia constitute significantly different than the distribution of dyslipidemia is one of the risk factors for diabetic nephropathy. Conclusion:By analyzing the data mining in the former on the basis of further argument with hypertension, coronary heart disease, dyslipidemia risk factors for diabetic nephropathy in various complications, the difference is significant.-Year-old transported among water transport, soil transported less than diabetic patients with nephropathy patients is higher than the other-year-old transport groups, but the lack of soil transported, the ratio between the difference in the waterway less than the proportion of the composition with other groups and no significant difference water transport of the five movements-year-old transportation and soil transport can not be considered risk factors for diabetes complicated by diabetic nephropathy.
Keywords/Search Tags:Diabetic nephropathy, Yun of the year, During pregnancy, Correlation, Clinical research
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