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What is the clinical significance of examining microalbuminu

Dec 28, 2016
Clinical use of trace protein indicators to monitor the incidence of nephropathy. Detection of trace proteins is the most sensitive and reliable diagnostic index for early detection of nephropathy. Through microalbuminuria value, combined with the onset, symptoms and history statement can be more accurate diagnosis of illness. Judge the disease into the stage of fibrosis. Therefore, regular detection of urine microalbumin (U-MA), ordinary people should be once a year, only increased patients should be tested every 3 months. In this way, the prevention of nephropathy and early treatment have played a positive role. The importance of type 2 diabetes disease and microalbuminuria screening for type 2 diabetes is a common disease in recent 20 years the incidence rate increased significantly, and the early age of onset, currently the world's 20 - 79 year olds the number of patients is about 150 million, which was the largest number of the top 3 countries are: India, Chinese, America approximately 70 million of the total. The prevalence of diabetes in China has increased year by year, in 1996 11 provinces survey showed that people over the age of 30 prevalence rate of 1998, from to 2001, the survey showed that the prevalence rate reached 10%. A large number of studies have confirmed that type 2 diabetes is a risk factor for cardiovascular events and death, cerebrovascular events and death, end-stage renal disease and death. Nearly half of all type 2 diabetics have high blood pressure. Urinary albumin is a risk factor for death in type 2 diabetes. With the increase of urinary albumin concentration, the survival rate of patients decreased, microalbuminuria is the earliest clinical evidence of diabetic nephropathy. Patients with type 2 diabetes who develop microalbuminuria have a high risk of developing severe kidney complications, and further decline in renal function is inevitable once microalbuminuria develops into albuminuria. Unfortunately, the expected survival of patients with chronic renal failure who enter the hemodialysis process is only about two years. Therefore, effective screening for microalbuminuria in patients with diabetes is necessary because it can determine appropriate treatment as soon as possible to slow this progression. Major strategies for preventing progression of kidney disease in type 2 diabetes include: effective control of blood pressure, renin angiotensin system blockers have proven significant benefits, while controlling blood sugar, low protein diet. Based on the present situation of type 2 diabetes, early detection of microalbuminuria in patients is particularly important, the existing data show that microalbuminuria in patients with type 2 diabetes prevalence rate of 30% - 40%, therefore, the American Diabetes Association recommends that all microalbuminuria in type 2 diabetes patients every year in the early diagnosis and after examination, 2003 report more the whole process of diabetic nephropathy should be treated with type 2 diabetes mellitus, hypertension, microalbuminuria or clinical proteinuria is recommended with angiotensin receptor blockers now some domestic authoritative experts advocate early nephropathy microalbuminuria prevention should start from the young adults, with rich life, accompanied by diabetes, hypertension and nephropathy. Heart disease, obesity and other complications more young, the market also gradually emerged in the family can self check The rapid diagnosis reagent for kidney quality and damage degree brings great convenience for the majority of patients. Early detection of early diagnosis through family self testing can largely prevent early illness and economic stress.

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