Khảo sát tỉ lệ albumin/creatinin niệu và độ lọc cầu thận ước tính trên bệnh nhân đái tháo đường type 2=Survey on the urine albumin/creatinine ratio and estimated glomerular filtration rate of patients with type 2 diabetes

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Tác giả: Thị Thanh Tâm Khương, Phương Linh Nguyễn, Thị Thanh Hương Trần, Thành Trung Vũ

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.144-150

Bộ sưu tập: Metadata

ID: 243779

Thêm vào giỏ

Khảo sát tỉ lệ Albumin/Creatinine niệu (uACR) và độ lọc cầu thận ước tính (eGFR) ở bệnh nhân đái tháo đường type 2 tại Bệnh viện Lão khoa Trung ương năm 2024. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 399 bệnh nhân đái tháo đường type 2 (BN ĐTĐ type 2) đang điều trị tại Bệnh viện Lão khoa Trung ương từ tháng 01 đến tháng 07 năm 2024. Các thông tin bệnh nhân và kết quả xét nghiệm được hồi cứu từ phần mềm quản lý thông tin phòng xét nghiệm tại Khoa Xét nghiệm. Kết quả: Trên BN ĐTĐ type 2 tỉ lệ BN có uACR(+) là 32,8%, tỉ lệ BN có eGFR <
60 là 20,1%. Kết hợp uACR và eGFR để đánh giá cho thấy: tỉ lệ nhóm BN có nguy cơ tiến triển bệnh thận mạn (BTM) là 42,6%, trong đó nguy cơ trung bình là 27,3%, nguy cơ cao 8,8% và nguy cơ rất cao là 6,5%. Kết luận: Nguy cơ tiến triển bệnh thận mạn trên BN ĐTĐ type 2 được phát hiện sớm hơn khi đánh giá kết hợp uACR và eGFR.Survey the urine Albumin/Creatinine ratio (uACR) and estimated Glomerular Filtration Rate (eGFR) in patients with type 2 diabetes at National Geriatric Hospital in 2024. Objects and Methods: A cross-sectional descriptive study was conducted on 399 type 2 diabetes mellitus (type 2 DM) patients treated at National Geriatric Hospital from January to July 2024. Patient information and laboratory results were retrospectively collected from the laboratory information management system of the Laboratory Department. Results: Among the type 2 DM patients, the proportion of patients with a uACR(+) was 32,8%, and an eGFR <
60 (stages G3a-G5) was 20,1%. When assessing combined risk, the group at risk of development of chronic kidney disease (CKD) progression was 42,6%, including moderate risk (27,3%), high risk (8,8%), and very high risk (6,5%). Conclusion: The risk of development of CKD in patients with type 2 diabetes is detected earlier when assessing uACR and eGFR combined.

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