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[C反应蛋白与微量白蛋白:2型糖尿病心血管风险的新标志物]

[CRP and micro-albumin: new markers of cardiovascular risk in type 2 diabetes].

作者信息

El Oudi M, Aouni Z, Ouertani H, Mazigh C, Nsiri B, Zidi B, Machghoul S

机构信息

Laboratoire de biochimie, hôpital militaire principal d'instruction, Montfleury, Tunis, Tunisie. doc

出版信息

Ann Cardiol Angeiol (Paris). 2011 Aug;60(4):207-10. doi: 10.1016/j.ancard.2010.12.026. Epub 2011 Jan 20.

Abstract

INTRODUCTION

Type 2 diabetes is a chronic disease associated to the presence of multiple risk factors. Among recently studied factors we cite PCR and micro-albumin.

OBJECTIVE

In the present study we intend to determine the correlation between urine albumin excretion rate, CRP levels and type of vascular complications in type 2 diabetes.

PATIENTS AND METHODS

We recruited 48 type 2 diabetic subjects subdivided into three groups according to the type of vascular complications (GI: type 2 diabetics without complications, GII: type 2 diabetics with microvascular complications and GIII: type 2 diabetics with macrovascular complications).

RESULTS

We found a significant elevated levels of CRP and micro-albumin (P<0.05) when we compared diabetics with vascular complications to those without any complications. Diabetics with macrovascular complications have the highest levels of CRP and micro-albumin. Significant positive correlation was found between CRP and micro-albumin levels in a total group of diabetics (r=0.32; P<0.05).

CONCLUSION

The determination of CRP and microalbumin levels represents an interest in the screening of cardiovascular disease in type 2 diabetics.

摘要

引言

2型糖尿病是一种与多种危险因素相关的慢性疾病。在最近研究的因素中,我们提到了PCR和微量白蛋白。

目的

在本研究中,我们旨在确定2型糖尿病患者尿白蛋白排泄率、CRP水平与血管并发症类型之间的相关性。

患者与方法

我们招募了48名2型糖尿病患者,根据血管并发症类型分为三组(GI:无并发症的2型糖尿病患者,GII:有微血管并发症的2型糖尿病患者,GIII:有大血管并发症的2型糖尿病患者)。

结果

当我们将有血管并发症的糖尿病患者与无任何并发症的患者进行比较时,发现CRP和微量白蛋白水平显著升高(P<0.05)。有大血管并发症的糖尿病患者CRP和微量白蛋白水平最高。在所有糖尿病患者中,CRP和微量白蛋白水平之间存在显著正相关(r=0.32;P<0.05)。

结论

测定CRP和微量白蛋白水平对2型糖尿病患者心血管疾病的筛查具有重要意义。

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