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尿溶菌酶测定对镉中毒性肾损害的早期诊断价值

URINARY LYSOZYME IN EARLY DIAGNOSIS OF CADMIUM INDUCED RENAL DAMAGE

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【作者】 王翔朴; 郭卫星; 陈本美; 周晓娟; 林鸿恩; 肖永定; 谭昌荣;

【Author】 Wang Xiangpu Guo weixing Cheng Benmei Zhou Xiao juan Environmental Medical Laboratory, Hunan Medical UniversityLin Huengen Xiao Yuengding Tan Changreng Worker’s Hospital, Shuikoushan Mineral Products Bureau, Hunan

【机构】 湖南医科大学环境医学研究室; 湖南医科大学水口山矿务局职工医院; 湖南医科大学水口山矿务局职工医院;

【摘要】 149例镉作业工人进行了尿溶菌酶、β2-MG、蛋白质总量及尿镉含量测定,发现尿镉是反映体内镉负荷的重要指标,但与镉损害、包括肾损害的程度无显著性相关。尿β2-MG及溶菌酶异常升高是镉中毒性贤损害的早期表现,较蛋白质总量敏感,特异。β2-MG与溶菌酶呈显著正相关,尿溶菌酶与其他肾损害指标的符合率较β2-MG更高。

【Abstract】 Lysozyme, β2-microglobulin (β2-MG) , total protein and cadmium content in urine were measured in 149 Cd-exposed workers.the results supported that urinary Cd content could be served as a useful indicator for cadmium body burden, but there is no significant correlation with other Cd-poisoning indicators, including renal injury.Abnormal increase of urinary β2-MG and lysozyme is the early phenomenon of Cd-poisoning renal damage.It seem to be more sensitive and more specific than urinary total protein.Urinary lysozyme is significantly correlated with urinary β2-MG.Its conformability with other renal injury indicators also seems to be better than urinary β2-MG.It is obvious that increased urinary lysozyme is a valuable indicator for early detection of Cd-poisoning renal damage.

【基金】 国家自然科学基金
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