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尿NAG测定在早期糖尿病肾病诊断中的临床意义

Clinical Significance of Urinary NAG Determination for Early Diagnosis of Diabetic Nephropathy

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【作者】 袁亚莉; 邓健; 许金生; 匡艳华; 肖启俭;

【Author】 Yuan Yali, Deng Jian, Xu Jinsheng,et al (Hengyang Medical College,Hengyang,421001)

【机构】 衡阳医学院化学教研室;

【摘要】 检测52例非胰岛素依赖性糖尿病(NIDDM)患者尿N乙酰βD氨基葡萄糖苷酶(NAG)活性和尿微量白蛋白(mALB),结果显示:NIDDM患者尿NAG活性显著高于对照组(P<0.001),与尿mALB呈显著正相关。尿NAG和mALB增高百分率分别为57.7%和59.6%,两者差异无显著性(P>0.05),提示尿NAG诊断早期糖尿病肾病(DN)的敏感性与mALB相仿。同时监测糖尿病患者尿NAG和mALB,有助于提高早期糖尿病肾病诊断的准确率。

【Abstract】 Urinary N acetyl β D glucosaminidase(NAG) activity and microalbumin(mALB) were determined in 52 patients with non insulin dependent diabetes mellitus(NIDDM).The results showed that NAG activity increased remarkably in NIDDM than in the control and had a significant correlation with mALB.The percentage of increased value of NAG and mALB were 57.7% and 59.6% respectively.Between them there was no significant difference(P>0.05),which suggested that NAG was similar to mALB in sensitivity for diagnosing diabetic nephropathy at its early stage.It seams that assaying urincary NAG and mALB is the best way for screening of early renal involvement in diabetes.

【基金】 衡阳市科委资助
  • 【文献出处】 衡阳医学院学报 ,JOURNAL OF HENGYANG MEDICAL COLLEGE , 编辑部邮箱 ,1999年01期
  • 【下载频次】34
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