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半胱氨酸蛋白酶抑制剂C在糖尿病肾病的变化

Increased Serum Cystatin C Concentration in Early Stage Diabetic Nephropathy

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【作者】 赵瑛瑛欧阳军王建生田晨光

【Author】 ZHAO Yingying,OUYANG Jun,WANG Jiansheng,et al Department of Nephrology,the Second Affiliated Hospital,Zhengzhou University,Zhengzhou 450014,China

【机构】 郑州大学第二附属医院肾内科河南省医学科学研究所郑州大学第二附属医院内分泌科 郑州市450014郑州市450052郑州市450014

【摘要】 目的探讨血清半胱氨酸蛋白酶抑制剂C(Cystatin C)在早期糖尿病肾病的诊断价值。方法测定和比较糖尿病正常白蛋白尿组、糖尿病微量白蛋白尿组与正常人血清CystatinC的浓度。结果糖尿病正常白蛋白尿组(0.76±0.38mg/l)与正常对照组(0.70±0.32mg/l)比较无显著性差异(P>0.05);糖尿病微量白蛋白尿组(1.82±0.98mg/l)与糖尿病正常白蛋白尿组(0.76±0.38mg/l)(P<0.001)和正常对照组(0.70±0.32mg/l)比较有显著性差异(P<0.001)。结论血清CystatinC是糖尿病肾病早期诊断的理想指标。

【Abstract】 Objective To explore the diagnostic value of serum cystatin C in early stage diabetic nephropathy.Methods We measured and compared the serum cystatin C concentrations among the normal control group,the diabetic patient group with normal albumin excretion in urine,and the diabetic patient group with microalbuminuria.Results There were no significant differences in serum cystatin C levels between the diabetic patient group with normal albumin excretion in urine(0.76±0.38mg/l)and the normal control group(0.70±0.32mg/l)(P>0.05).The serum cystatin C concentration in the diabetic patient group with microalbuminuria(1.82±0.98mg/l)was significantly increased when compared with the diabetic patient group with normal albumin excretion in urine(0.76±0.38mg/l)and the normal control group(0.70±0.32mg/l)(P<0.001respectively).Conclusion Serum cystatin C is a sensitive eartly diagnostic marker for diabetic nephropathy.

【关键词】 Cystatin C早期糖尿病肾病
【Key words】 Cystatin CEarly diabeticNephropathy
  • 【文献出处】 医药论坛杂志 ,Journal of Medical Forum , 编辑部邮箱 ,2007年13期
  • 【分类号】R587.2
  • 【被引频次】3
  • 【下载频次】68
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