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uggs nederland Diabetic retinopathy and microalbum

 
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PostWysłany: Śro 3:22, 23 Mar 2011    Temat postu: uggs nederland Diabetic retinopathy and microalbum

Diabetic retinopathy and microalbuminuria in relation


R and the emergence and severity,[link widoczny dla zalogowanych], DR may be the extent of the increase of urinary albumin with aggravated 【,,. Mastropasqua and so even that if there is persistent microalbuminuria,[link widoczny dla zalogowanych], in the event of DR in the field of vision before the next decline in the central zone in light sensitivity, or even visual field defects. Although the DR urine ALB / Cr increase mechanism is not clear. But the ALB / Cr is considered abnormal microvascular endothelial cell dysfunction in the performance, and microvascular lesions 【will accelerate, so DR can occur ALB / Cr exception. The study found that DR (including simple and proliferative disease) group,[link widoczny dla zalogowanych], ALB / Cr was significantly higher than non-retinopathy group, and the older, longer course. Because of age, disease duration, degree of obesity, blood pressure and blood glucose control and other factors can affect the urinary albumin excretion and the DR of the emergence and increase _8J, this study by univariate and multivariate statistical analysis to the addition to the above variables, the observed asked two groups of urinary ALB / Cr differences, and then after Logistic regression analysis. The results show that, ALB / Cr and duration as independent factors remained associated with the DR. Currently the ALB / Cr anomalies as indicators of early diagnosis of DR clinical applications based on the lack of a strong, but at least can explain the existence of abnormal microvascular damage, such as the emblem of vascular leakage, increased brittleness and breakage and bleeding, these performance can also occur in the retina, which has been clinically validated. So ALB / Cr anomalies, should cause us particular concern, we recommend that these patients do as soon as fundus fluorescein angiography, and patients need to be targeted retinal photocoagulation treatment. Early detection of DR is currently abroad, rely mainly on fundus fluorescein angiography, and the economic reasons people with diabetes in the country with fundus fluorescein angiography for screening or filtering to clearly not yet possible,[link widoczny dla zalogowanych], but with the ALB / Cr as a screening abnormal indicators, with a certain economic and practical. As the group of patients in the vast majority of type Ⅱ diabetes mellitus; retinopathy, the vast majority of simple lesions, no in-depth analysis I and Ⅱ diabetic retinopathy, simple and proliferative retinopathy and urinary ALB / Cr relationship. 【Key Words】 sugar Exhibition disease ■ i retinopathy; urinary albumin index points 【fecal law libraries around the Chinese Classification】 R5871
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