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[1]王敏,张慧芹.糖尿病肾病风险评分在社区2型糖尿病患者中的应用[J].慢性病学杂志,2021,(02):179-181.
　WANGMin,ZHANGHui-qin.Application of diabetic nephropathy risk score in community patients with type2diabetes[J].,2021,(02):179-181.
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糖尿病肾病风险评分在社区2型糖尿病患者中的应用

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2021年02期
页码:
179-181
栏目:
论　著
出版日期:
2021-01-20

文章信息/Info

Title:
Application of diabetic nephropathy risk score in community patients with type2diabetes
作者:
王敏; 张慧芹
中国科学院中关村医院，北京 100190
Author(s):
WANGMin; ZHANGHui-qin
ZhongguancunHospital,Chinese AcademyofSciences,Beijing100190,China Correspondingauthor:WANGMin,E-mail:jiibg28ovc42@163.com
关键词:
2型糖尿病; 糖尿病肾病; 风险评分; 中关村社区
Keywords:
Type2 diabetes;  Diabetic nephropathy;  Risk score;  Zhongguancun community
分类号:
R587.1
DOI:
-
摘要:
目的 分析研究糖尿病肾病风险评分在中关村社区2型糖尿病患者中的应用及效果，为社区后续应用奠定 基础。方法 选取中关村社区2016年11月至2019年11月的800例糖尿病患者作为研究对象，按照随机数字表 法选取560例作为训练样本建立对应的糖尿病肾病风险评分表，剩余320例用作验证样本。整理患者年龄、糖尿 病病程、高血压病史、体质量指数、腰围、规律运动及饮食控制为危险因素进行分析，以多变量logistic回归分析 的偏回归系数计算糖尿病肾病风险评分值。结果 糖尿病肾病患病率为18.75%（150/800）；随着年龄增长患病 率越高；随糖尿病病程增加患病率增加；患者有高血压患病史发病率更高；糖化血红蛋白合格患者患病率显著低 于不合格患者，差异均有统计学意义（P<0.05）。分析各要素的变量，进行全样本的单变量logistic回归分析，分 别赋予对应的年龄、糖尿病病程及高血压等分值。糖尿病肾病风险评分值介于0~25分。通过切点分析可知，训 练样本组及检验样本组患有糖尿病肾病患者风险评分值大于11分占比分别为63.55%及61.22%。结论 糖尿病 肾病风险评分可以作为初期的糖尿病肾病筛查工具，但是还需进一步的完善与改进。
Abstract:
Objective To analyze and study the application and effect of diabetic nephropathy risk score in type 2 diabetic patients in Zhongguancun community, and lay the foundation for the follow-up appli-cation in the community. Methods Totally800 diabetic patients in Zhongguancun community from No-vember 2016 to November 2019 were selected as the research objects, and560 patients were selected as training samples according to the random number table extraction method to establish a correspond-ing diabetic nephropathy risk score table, and the remaining 320 patients were used as the verification samples. The patient’s age, duration of diabetes, history of hypertension, body mass index, waist cir-cumference, regular exercise and diet control were analyzed as risk factors. The risk score of diabetic nephropathy was calculated with the partial regression coefficient of multivariate logistic regression analy-sis. Results The prevalence of diabetic nephropathy was 18.75%（150/800）; the prevalence in-creased with age and the course of diabetes. There was higher prevalence in patients with a history of hypertension. The prevalence of qualified patients with glycosylated hemoglobin was significantly lower than that of unqualified patients. The above differences were statistically significant（P<0.05）. An uni-variate logistic regression analysis of the whole sample was performed, and corresponding scores to the corresponding age, duration of diabetes and hypertension were assigned. The diabetic nephropathy risk score was between 0-25 points. According to the cut-point analysis, the risk scores of patients with diabetic nephropathy in the training sample group and the test sample group greater than 11 accountedfor 63.55% and61.22%, respectively.Conclusion The risk score of diabetic nephropathy can be used as an early screening tool for diabetic nephropathy, but it needs further improvement.

参考文献/References:

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备注/Memo

备注/Memo:
作者简介：王敏，硕士研究生，主冶医师，研究方向：内分泌科疾病 通信作者：王敏，E-mail: jiibg28ovc42@163.com
更新日期/Last Update: 2021-02-28