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丰罗菊, 王亚龙, 张建陶, 张叶香, 卢明俊. 糖尿病肾病空腹血糖预测值筛选[J]. 中国公共卫生, 2008, 24(6): 727-729. DOI: 10.11847/zgggws2008-24-06-49
引用本文: 丰罗菊, 王亚龙, 张建陶, 张叶香, 卢明俊. 糖尿病肾病空腹血糖预测值筛选[J]. 中国公共卫生, 2008, 24(6): 727-729. DOI: 10.11847/zgggws2008-24-06-49
FENG Luo-ju, WANG Ya-long, ZHANG Jian-tao, . Safety reference value sereening of fasting blood glucose for preventing diabetic nephropathy[J]. Chinese Journal of Public Health, 2008, 24(6): 727-729. DOI: 10.11847/zgggws2008-24-06-49
Citation: FENG Luo-ju, WANG Ya-long, ZHANG Jian-tao, . Safety reference value sereening of fasting blood glucose for preventing diabetic nephropathy[J]. Chinese Journal of Public Health, 2008, 24(6): 727-729. DOI: 10.11847/zgggws2008-24-06-49

糖尿病肾病空腹血糖预测值筛选

Safety reference value sereening of fasting blood glucose for preventing diabetic nephropathy

  • 摘要: 目的 探讨预防糖尿病肾病的空腹血糖安全参考值。方法 收集糖尿病患者311例,分为并发糖尿病肾病组和未并发糖尿病肾病组,检测2组空腹血糖水平;按不同血糖水平分为5个等级,采用有序回归分析方法获得是否并发糖尿病肾病的累积概率(P)及回归系数(β);采用受试者工作特征曲线(ROC)分析方法中的灵敏度(TP)和假阳性率(FP),建立ROC曲线并绘制曲线图,获得糖尿病患者预防并发肾病的血糖安全参考值,计算某一安全参考值判定为阴性的糖尿病患者真正不并发肾病的阴性预测值。结果 预防糖尿病肾病的血糖安全参考值为8.4mmol/L,95%CI=8.1~8.8;空腹血糖控制在该范围内,患者不会并发糖尿病肾病的可能性即阴性预测值为71%~62%。结论 通过ROC曲线方程获得糖尿病患者不并发肾病的血糖安全参考值与阴性预测值,可作为控制糖尿病患者血糖水平,预防并发肾病的预后评价参考依据。

     

    Abstract: Objective To study the safety reference value of blood glucose for preventing diabetic nephropathy.Methods A total of 311 diabetic patients was collected and divided into two groups,diabetic nephropathy group and nondiabetic nephropathy group,and the fasting blood glucose was then detected.Accor ding to the values of blood glucose,the subjects were divided eaqually into 5 levels.Ordinal regression analysis were used to get the cumulative probabilities and regression coefficents of suffering diabetic nephropathy or not.Receiver operating characteristic(ROC)method were used to analyze the sensitivity and false positive rate,and diagrams of curves of ROC were constructed and drawed to get the safety reference value of blood glucose for preventing diabetic nephropathy.The negatively predictive value for a diabetic without suffering from diabetic nephropathy was calculated accrding to the safety reference value.Results The safety reference value of blood glucose for preventing diabetic nephropathy is 8.4 mmol/L,and the 95% confidence interval is between 8.1 mmol/L and 8.8 mmol/L.If the blood glucose could be controled in this range,the possibility or the negativ ely predictive value of a diabetic without suffering diabetic nephropathy is between 71% and 62%.Conclusion The safety reference value of blood glucose and the negatively predictive value of a diabetic suffering diabetic nephropathy obtained by establishing ROC curve equations can be used to control the blood glucose of diabetic and make a prog nosticevaluation for preventing diabetic nephropathy complication.

     

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