Đặc điểm lâm sàng, cận lâm sàng bệnh nhân đái tháo đường tuýp 2 có bệnh thận mạn, protein niệu âm tính=Clinical and paraclinical characteristics of normoalbuminuria diabetic kidney diseases in patient with type 2 diabetes patients

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Tác giả: Quang Bảy Nguyễn, Thị Thùy Ngân Nguyễn, Văn Thành Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.106-111

Bộ sưu tập: Metadata

ID: 242428

Thêm vào giỏ

Chronic kidney disease with negative proteinuria is a common phenotype in patients with type 2 diabetes (normoalbuminuria DKD or NA-DKD). Currently, there were few studies on this phenotype, so we conducted this study with the aim of describing the clinical and paraclinical characteristics of NA-DKD in diabetes patients treated at Viet-Tiep Hospital, Hai Phong. Subjects - Research methods: a crosssectional descriptive study on 76 patients diagnosed with type 2 diabetes with negative proteinuria treated at Viet-Tiep Hospital, Hai Phong 8/2023 -7/2024. Results: 85,5% was at stage 3 renal impairment, 15,5% at stage 4 renal impairment
female patitent was 71,1%
mean age was 74,2 years
mean of BMI was 24,1 kg/m2
the highest comorbidity was hypertension with 90,8%
CVD 34,2%
diabetic retinopathy was 13,2% and peripheral neuropathy was both 11,8%. Conclusion: The rate of NA-DKD of stage 3 renal impairment was higher than stage 4 (85,5% vs15,5%)
age, number of years with diabetes and average BMI of patients were quite high, women was more common than men. Clinical features: edema and anemia accounted for a low proportion. Regarding comorbidities: hypertension was the most common comorbidity 90,8%
diabetic retinopathy and peripheral neuropathy accounted for a relatively low proportion.Mô tả đặc điểm lâm sàng, cận lâm sàng bệnh nhân đái tháo đường típ 2 có bệnh thận mạn, protein niệu âm tính điều trị tại BVHN Việt-Tiệp Hải Phòng. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang trên 76 BN được chẩn đoán mắc ĐTĐ típ 2 có protein niệu âm tính điều trị tại BVHN Việt-Tiệp Hải Phòng từ 8/2023-7/2024. Kết quả: 85,5% suy thận độ 3, 15,5% suy thận độ 4
Nữ giới chiếm 71,1%
tuổi trung bình là 74,2 năm
BMI trung bình là 24,1 kg/m2
bệnh mắc kèm cao nhất là THA gặp 90,8%
bệnh mạch vành chiếm 34,2%
bệnh VMĐTĐ 13,2% và thần kinh ngoại vi đều là 11,8%. Kết luận: Tỉ lệ bệnh thận mạn, protein niệu âm tính suy thận độ 3 chiếm đa số so với độ 4
tuổi, số năm mắc ĐTĐ và BMI trung bình của BN khá cao, nữ gặp nhiều hơn nam giới. Về lâm sàng: phù và thiếu máu chiếm tỉ lệ thấp. Về bệnh mắc kèm: THA gặp tỉ lệ rất cao 90,8%
bệnh VMĐTĐ và bệnh thần kinh ngoại vi chiếm tỉ lệ khá thấp.

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