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胰岛素依赖型糖尿病患者的视网膜病变和肾病:一种不一致的关系?

Retinopathy and nephropathy in insulin-dependent diabetics: an inconsistent relationship?

作者信息

Agardh E, Tallroth G, Bauer B, Cavallin-Sjöberg U, Agardh C D

出版信息

Diabet Med. 1987 May-Jun;4(3):248-50. doi: 10.1111/j.1464-5491.1987.tb00873.x.

DOI:10.1111/j.1464-5491.1987.tb00873.x
PMID:2956029
Abstract

The association between retinopathy and nephropathy was investigated in a retrospective study of 52 insulin-dependent diabetics with preproliferative or proliferative retinopathy and in 48 patients without or with background retinopathy. The duration of diabetes was 23.2 +/- 1.0 years (mean +/- SEM) and 22.0 +/- 1.2 years in the two groups. Patients in the retinopathy group showed a higher frequency of detectable nephropathy and were more often treated with antihypertensive drugs. However, a high proportion (35%) of patients with proliferative retinopathy did not show any detectable signs of nephropathy. Furthermore, nephropathy did not seem to develop in patients with retinopathy during an observation period of up to 9 years. The data suggest that the factors underlying the development of retinal and renal microangiopathy might be of different origin.

摘要

在一项回顾性研究中,对52例患有增殖前期或增殖性视网膜病变的胰岛素依赖型糖尿病患者以及48例无视网膜病变或仅有背景性视网膜病变的患者进行了视网膜病变与肾病之间关联的调查。两组患者的糖尿病病程分别为23.2±1.0年(均值±标准误)和22.0±1.2年。视网膜病变组患者可检测到的肾病发生率更高,且更常接受抗高血压药物治疗。然而,高比例(35%)的增殖性视网膜病变患者未表现出任何可检测到的肾病迹象。此外,在长达9年的观察期内,视网膜病变患者似乎并未发生肾病。数据表明,视网膜和肾脏微血管病变发生的潜在因素可能源于不同方面。

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Retinopathy and nephropathy in insulin-dependent diabetics: an inconsistent relationship?胰岛素依赖型糖尿病患者的视网膜病变和肾病:一种不一致的关系?
Diabet Med. 1987 May-Jun;4(3):248-50. doi: 10.1111/j.1464-5491.1987.tb00873.x.
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The incidence of nephropathy in type 1 diabetic patients with proliferative retinopathy: a 10-year follow-up study.1型糖尿病增殖性视网膜病变患者肾病的发病率:一项10年随访研究。
Diabetes Res Clin Pract. 1998 Jan;39(1):11-7. doi: 10.1016/s0168-8227(97)00106-x.
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Accelerated retinopathy and nephropathy in diabetic pregnancy.糖尿病妊娠中的加速性视网膜病变和肾病
Ir J Med Sci. 1991 May;160(5):137-9. doi: 10.1007/BF02965938.
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Cigarette-smoking as a risk factor for macroproteinuria and proliferative retinopathy in type 1 (insulin-dependent) diabetes.吸烟作为1型(胰岛素依赖型)糖尿病患者大量蛋白尿和增殖性视网膜病变的危险因素。
Diabetologia. 1986 Aug;29(8):500-2. doi: 10.1007/BF00453501.
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[Study of the relationship between retinal and renal microangiopathy in patients with diabetes mellitus type 1].[1型糖尿病患者视网膜与肾脏微血管病变关系的研究]
Rev Clin Esp. 2003 Jun;203(6):268-72. doi: 10.1157/13047616.
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The temporal development of retinopathy and nephropathy in type 1 diabetes mellitus during 15 years diabetes duration.1型糖尿病患者糖尿病病程15年期间视网膜病变和肾病的时间发展情况。
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[Effect of lisinopril on progression of retinopathy and microalbuminuria in normotensive subjects with insulin-dependent diabetes mellitus].赖诺普利对胰岛素依赖型糖尿病正常血压患者视网膜病变和微量白蛋白尿进展的影响
Ugeskr Laeger. 1999 Feb 15;161(7):949-52.
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Increased prevalence of proliferative retinopathy and cardiovascular autonomic dysfunction in IDDM patients with proteinuria.蛋白尿型胰岛素依赖型糖尿病患者增殖性视网膜病变和心血管自主神经功能障碍患病率增加。
Exp Clin Endocrinol. 1992;99(2):102-7. doi: 10.1055/s-0029-1211146.

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