Comparative sonographic assessment of renal dimensions and clinicobiochemical parameters among diabetic and nondiabetic adults in Benin City, Nigeria

E. John, B. Igbinedion, A. Akhigbe
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引用次数: 1

Abstract

Background: Diabetes mellitus affects all major organs of the body including the kidneys. One of its effects on the kidney is alteration of renal volume. Aim: The aim of this study was to sonographically evaluate and compare the renal volume in patients with diabetes and nondiabetic controls. This study also correlated the effect of biochemical and anthropometric measurements with the renal volume. Materials and Methods: The study is prospective, comparative, and cross-sectional involving ultrasonic measurement of renal dimensions of 150 adults with diabetes and 150 nondiabetic adults at the University of Benin Teaching Hospital, Benin City, using a Sonace X6 ultrasound machine (Medison Inc., Seoul, South Korea). The anthropometric measurements and biochemical estimation of fasting blood sugar, glycosylated hemoglobin, plasma creatinine, and urinary protein were performed. Results: The right and average renal volumes were higher in the diabetics than that in the nondiabetics. The left renal volume, although higher in diabetics, was, however, not statistically significant (P = 0.219). The renal volumes (right, left, and average) showed positive correlation with height, weight, and body mass index for the group of adults with diabetes and the nondiabetic groups. The renal volumes also correlated negatively with a duration of diabetes at significant statistical levels (r = −0.453, P = 0.012; r = −0.424, P = 0.020; r = −0.404, P = 0.027 for right, left, and average kidney volumes, respectively). Conclusion: Renal changes in diabetics that affect its dimensions are demonstrable sonographically. Hence, ultrasound plays some role in monitoring diabetics.
尼日利亚贝宁市糖尿病和非糖尿病成人肾脏尺寸和临床生化参数的超声比较评估
背景:糖尿病影响身体的所有主要器官,包括肾脏。它对肾脏的影响之一是改变肾容量。目的:本研究的目的是超声评估和比较糖尿病患者和非糖尿病对照组的肾容量。本研究还将生化和人体测量的效果与肾容量联系起来。材料和方法:本研究是前瞻性、对比性和横断面的,涉及在贝宁市贝宁大学教学医院使用Sonace X6超声机(Medison Inc., Seoul, South Korea)对150名成人糖尿病患者和150名非糖尿病患者的肾脏尺寸进行超声测量。进行空腹血糖、糖化血红蛋白、血浆肌酐和尿蛋白的人体测量和生化评估。结果:糖尿病患者的右肾容量和平均肾容量均高于非糖尿病患者。糖尿病患者的左肾容积虽然较高,但差异无统计学意义(P = 0.219)。成人糖尿病组和非糖尿病组的肾容量(右、左和平均)与身高、体重和身体质量指数呈正相关。肾容量与糖尿病病程呈显著负相关(r = - 0.453, P = 0.012;r =−0.424,P = 0.020;右肾、左肾和平均肾体积r =−0.404,P = 0.027)。结论:糖尿病患者肾脏的改变在超声检查中是明显的。因此,超声在监测糖尿病患者中发挥了一定的作用。
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