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尿微量白蛋白与血清胱抑素C联合检测对早期肾功能损伤的临床探讨

Clinical Value of Microalbunminuria(UMA)and Serum Cystatin C(SCys-C)for Early Renal Function Injury

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【作者】 杜立树平龙玉涂林范文成冯霞

【Author】 DU Li-shu 1,PING Long-yu1,TU Lin2,FAN Wen-cheng2,FENG Xia2(1.Department of Laboratory,Hospital of TCM in Mianyang City,Sichuan Mianyang 621000,China;2.Red cross Service Center Blood Bank in Mianyang City,Sichuan Mianyang 621000,China)

【机构】 绵阳市中医院检验科绵阳市红十字中心血站

【摘要】 目的探讨尿微量白蛋白、血清胱抑素C水平对高血压、糖尿病早期肾功能损害的临床诊断价值评价。方法将研究对象分为高血压组、糖尿病组、阳性对照组及阴性对照组。取晨尿,免疫透射比浊法检测尿微量白蛋白;乳胶增强散射免疫比浊法检测血清胱抑素C;酶法检测血清肌酐和尿素氮。结果高血压组及糖尿病组患者尿微量白蛋白,血清胱抑素C水平均显示高于正常对照组(P<0.01),尿微量白蛋白和血清胱抑素C检出率显著高于阴性对照组。结论尿微量白蛋白和血清胱抑素C水平是肾功能损害的早期标志物;联合检测可提高糖尿病和高血压早期肾功能损害检出率。

【Abstract】 Objective To investigate the clinical value of UMA and SCys-C levels in the patients with early renal function injury caused by hypertension and diabetes mellitus.Methods All the cases were individed in to four groups:DM group;Hp group ;degenerative nephrosis group and healthy control group.UMA was detected with the immune transmission nephelometry.SCys-C was detected with grains strengthen immunoturbidimetry.Cr and BUN levels in serum were detected with enzymic method.Results UMA and SCys-C levels in hypertension and diabeticpatient were significantly higher than normal control(P<0.01).The abnormal rates for UMA and SCys-C were significantly higher those that of SCr and BUN.Conclusion The detections of UMA and SCys-C showed that they are sensitive indexes of early renal function injury.The conbined determination of UMA and SCys-C is useful for early diagnosis and intervention for hypertension and diabeticnephropathy.

  • 【文献出处】 成都医学院学报 ,Journal of Chengdu Medical College , 编辑部邮箱 ,2009年02期
  • 【分类号】R446.6
  • 【被引频次】17
  • 【下载频次】454
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