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血清胱抑素C和脂蛋白(a)对早期糖尿病肾病的诊断价值

Diagnostic value of serum cystatin C and lipoprotein(a) for early diabetic nephropathy

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【作者】 王红

【Author】 WANG HongDepartment of Internal Medicine,Zhigong Hospital of Henan Province,Zhengzhou 450002

【机构】 河南省职工医院综合内科

【摘要】 目的:探讨联合检测血清胱抑素C(CysC)、脂蛋白(a)水平对早期糖尿病肾病(DN)的诊断价值。方法:采用免疫比浊法分别检测60例早期DN患者(DN组)、55例无肾病的糖尿病患者(NDN组)和50例健康成年人(对照组)血清CysC和脂蛋白(a)水平,并分析比较单项及联合检测对早期DN的诊断效能。结果:DN组血清CysC和脂蛋白(a)水平均高于对照组和NDN组(F=5.888,14.026,P均<0.05);二者诊断DN的灵敏度分别为86.7%和68.3%,特异度分别为95.0%和93.3%,二项指标联合检测灵敏度达91.6%,特异度达91.7%。结论:CysC与脂蛋白(a)联合检测较单项检测能大大提高检测灵敏度,对于早期DN的诊断有重要意义。

【Abstract】 Aim:To explore the diagnostic value of serum cystatin C(Cys C) and lipoprotein(a) for early diabetic nephropathy(DN).Methods:The immune turbidimetry was used to detect serum Cys C and lipoprotein(a) in 60 cases of patients with early DN(DN group),55 patients without nephropathy but with diabetes mellitus(NDN group),and 50 healthy adults(control group).The efficacy of single index or 2 indexes combined in diagnosis of early DN was compared.Results:Serum Cys C and lipoprotein(a) in early DN group were significantly higher than those in the control group and NDN group(F=5.888,14.026,P<0.05).The sensitivity of Cys C and lipoprotein(a) in diagnosis of DN was 86.7% and 68.3%,specificity was 95.0% and 93.3%,which were 91.6% and 91.7% when the 2 indexes combined.Conclusion:Combined detecting serum Cys C and lipoprotein(a) can greatly improve detection sensitivity of early DN.

【关键词】 糖尿病肾病胱抑素C脂蛋白(a)
【Key words】 diabetic nephropathycystatin Clipoprotein(a)
  • 【文献出处】 郑州大学学报(医学版) ,Journal of Zhengzhou University(Medical Sciences) , 编辑部邮箱 ,2012年03期
  • 【分类号】R587.2;R692.9
  • 【被引频次】5
  • 【下载频次】124
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