Klein R, Klein B E, Moss S, DeMets D L
Department of Ophthalmology, University of Wisconsin Medical School, Madison.
Arch Intern Med. 1988 Jan;148(1):181-6.
In a population-based study in southern Wisconsin, 1370 diabetic persons diagnosed after 29 years of age were examined using standard protocols to determine the prevalence of proteinuria and associated risk variables. Proteinuria (greater than or equal to 0.30 g/L) was present in 18.0% of persons taking insulin and 12.2% of the persons not taking insulin. Proliferative retinopathy and proteinuria were associated with each other. Proteinuria was also associated with increasing duration of diabetes, high systolic blood pressure, use of digoxin, and being male, but not with a history of cigarette smoking or metabolic control as measured by glycosylated hemoglobin.
在威斯康星州南部一项基于人群的研究中,对1370名29岁以后被诊断出的糖尿病患者采用标准方案进行检查,以确定蛋白尿的患病率及相关风险变量。服用胰岛素的患者中,18.0%存在蛋白尿(大于或等于0.30 g/L),未服用胰岛素的患者中这一比例为12.2%。增殖性视网膜病变与蛋白尿相互关联。蛋白尿还与糖尿病病程延长、收缩压升高、使用地高辛以及男性性别有关,但与吸烟史或糖化血红蛋白所衡量的代谢控制情况无关。