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2型糖尿病患者糖尿病肾病与血脂紊乱的研究进展

Research Progress of Diabetic Nephropathy Correlation with Dyslipoproteinemia in Patients with Type 2 Diabetes Mellitus

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【作者】 高雨梅康文娟

【Author】 GAO Yu-mei;KANG Wen-juan;Graduate School of Shanxi Medical University;Department of Endocrinology,Shanxi Provincial People’ s Hospital;

【机构】 山西医科大学研究生学院山西医科大学附属人民医院内分泌科

【摘要】 脂代谢紊乱在2型糖尿病和慢性肾脏疾病中有很高的患病率。血清高三酰甘油、高胆固醇可直接作用于肾小球血管内皮细胞、肾小球系膜细胞、肾小管细胞而损害肾脏;还可通过血清高胰岛素影响血管紧张素Ⅱ合成,使单核细胞和肾小球系膜细胞分泌转化生长因子β和肿瘤坏死因子α及其他炎性因子而间接损伤肾脏。及时检测糖尿病患者血脂蛋白水平有着重要的意义。

【Abstract】 Dyslipoproteinemia is highly prevalent in type 2 diabetes mellitus and chronic kidney disease.High triglycerides and high cholesterol in serum may directly damage the kidneys by acting on glomerular endothelial cells,mesangial cells and renal tubular cells; in addition they can indirectly damage the kidneys by affecting angiotensinⅡsynthesizing through high serum insulin,and secreting of tranforming growth factorβ,tumor necrosis factor α and other inflammatory cytokines from monocytes and glomerular mesangial cells.Timely examination of serum lipoprotein levels in patients with diabetes is very important.

  • 【文献出处】 医学综述 ,Medical Recapitulate , 编辑部邮箱 ,2015年17期
  • 【分类号】R587.2;R692.9
  • 【被引频次】19
  • 【下载频次】282
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