血清dp-ucMGP、BGP水平与2型糖尿病肾脏病变的相关性及预测价值
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河北省科技厅“技术创新引导专项——科技工作会商”项目


Correlation and predictive value of serum dp-ucMGP and BGP levels in type 2 diabetic kidney disease
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    摘要:

    探讨去磷酸-未羧化基质GLA蛋白(dp-ucMGP)、骨钙素(BGP)水平与2型糖尿病肾脏病变(DKD)的相关性及预测价值。方法 收集2020年9月~2021年11月在我院内分泌科住院的138例2型糖尿病(T2DM)患者,以尿微量白蛋白/肌酐(ACR)水平分组:ACR<3 mg/mmol为单纯糖尿病组(DM,n=56);ACR在 3~30 mg/mmol为早期糖尿病肾脏病变组(eDKD,n=38);ACR>30 mg/mmol为临床糖尿病肾病组(cDKD,n=44);检测患者血中dp-ucMGP、BGP及临床生化指标。结果 与DM组相比,eDKD组和cDKD组患者的dp-ucMGP升高,BGP降低(均P<0.05)。Spearman相关性分析结果显示dp-ucMGP与CRE、UREA、ACR水平呈正相关,与eGFR呈负相关(均P<0.05);BGP与ACR呈负相关(P<0.05);Logistic回归提示dp-ucMGP是DKD的危险因素,BGP是DKD的保护性因素。通过ROC曲线分析确定两者联合诊断DKD的敏感性0.781,特异性0.750,AUC是0.838(95% CI:0.773~0.902)。结论dp-ucMGP是DKD的危险因素,BGP是DKD保护因素,两者可能对DKD的诊断具有一定价值

    Abstract:

    To investigate the correlation and predictive value of dp-ucMGP and BGP levels with type 2 diabetic kidney disease (DKD), and provide a new conception for the diagnosis of DKD. Methods A total of 138 patients with type 2 diabetes mellitus were collected from December 2020 to October 2021 who were admitted to the endocrinology department of our hospital. According to the urinary microalbumin/creatinine (ACR) level. The patients with ACR<3mg/mmol were divided into plain diabetes group (DM, n=56), ACR between 330 mg/mmol was in the early diabetic kidney disease group (eDKD, n=38), ACR>30mg/mmol was classified as clinical diabetic kidney disease group (cDKD, n=44). dp-ucMGP, BGP levels and other clinical biochemical indexes were inspected. Results In contrast to DM group, dp-ucMGP in eDKD group and cDKD group was increased, while BGP was decreased (P<0.05). Spearman correlation analysis showed that dp-ucMGP was positively correlated with ACR, CRE, UREA levels, and negatively correlated with eGFR. BGP was negatively correlated with ACR. Logistic regression demonstrated that dp-ucMGP was a risk factor for DKD, and BGP was a protective factor. The sensitivity of the combined diagnosis of DKD was 0.781, the specificity 0.750, and the AUC was 0.838 (95% CI:0.773-0.902) as determined by ROC curve analysis. Conclusion Dp-ucMGP is a risk factor of DKD, BGP is a protective factor of DKD, both of them have certain value for the diagnosis of DKD

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  • 在线发布日期: 2023-02-17
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