25-羟维生素D3水平与2型糖尿病肾病的相关性研究

    Correlation between serum 25-hydroxyvitamin D3 and type 2 diabetic nephropathy

    • 摘要: 目的:观察2型糖尿病肾病(T2DN)患者血浆维生素D和肾功能生化指标变化情况,评价维生素D在T2DN发生发展中的意义。方法:对72例T2DN患者按24 h尿白蛋白定量(24 h-UAE)分为正常蛋白尿组(A组)、微量蛋白尿组(B组)和大量蛋白尿组(C组),同时选择相匹配的22名健康人作为对照组(D组)。检测4组血浆尿素(UREA)、血肌酐(Cr)、尿酸(UA)、24 h-UAE及血清25-羟维生素D325-(OH)D3水平。并分析血清25-(OH)D3与肾功能指标的相关性。结果:A、B和C 3组血清25-(OH)D3水平均较D组明显降低(P<0.01),C组患者亦均较A组和B组患者明显降低(P<0.01),A组和B组差异无统计学意义(P>0.05)。C组患者血浆UREA、Cr和24 h-UAE较A、B、D组患者明显升高(P<0.01),B组和A组患者差异均无统计学意义(P>0.05)。A、B、C 3组T2DN患者和D组血浆UA水平差异均无统计学意义(P>0.05)。25-(OH)D3与UREA、Cr和24 h-UAE均呈负相关关系(P<0.05),与UA无相关关系(P>0.05)。结论:合并25-(OH)D3缺乏的T2DN患者可能更容易出现肾脏病变。

       

      Abstract: Objective: To evaluate the role of vitamin D in the pathogenesis of type 2 diabetic nephropathy(T2DN) by observing the changes of blood serum vitamin D and biochemical markers of renal function in patients with T2DN.Methods: According to 24 h urinary albumin excretion(24 h-UAE),72 hospitalized patients with T2DN were divided into normal albuminuria group(group A),microalbuminuria group(group B)and macroalbuminuria group(group C),and 22 healthy people were selected as control(group D).the levels of urea(UREA),creatinine(Cr),uric acid(UA),24 h-UAE and serum 25-(OH)D3 were detected;The levels of serum 25-(OH)D3 and biochemical indexes were analyzed and compared among the four groups.Results: The level of serum 25-(OH)D3 in group A,group B and group C was significantly lower than that in group D(P <0.01);the level of serum 25-(OH)D3 in group C was significant lower than that in group A and group B(P <0.01),but the difference was not significant between group A and group B(P>0.05).The level of plasma UREA,Cr and 24 h-UAE in group C were significantly higher than that in group D,group A and group B(P<0.01);but the difference was not significant between group A and group B(P>0.05).The four groups demonstrated no significant difference in UA(P>0.05).Serum 25-(OH)D3 was negatively related to UREA,Cr and 24 h-UAE(P<0.05),and there was no relationship between 25-(OH)D3 and UA(P>0.05).Conclusions: T2DN patients complicated with 25-(OH)D3 deficiency are more prone to kidney diseases.

       

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