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血、尿胱抑素C在糖尿病肾病早期检测中的应用价值
引用本文:陈正徐,王莉,李曼.血、尿胱抑素C在糖尿病肾病早期检测中的应用价值[J].安徽医药,2011,15(10):1272-1273.
作者姓名:陈正徐  王莉  李曼
作者单位:安徽省合肥市第二人民医院检验科,安徽,合肥,230011;安徽省合肥市第二人民医院检验科,安徽,合肥,230011;安徽省合肥市第二人民医院检验科,安徽,合肥,230011
基金项目:合肥市科技局自然科学研究项目
摘    要:目的探讨血、尿胱抑素C在监测糖尿病肾病早期肾损伤的临床应用价值。方法检测120例健康人员和65例糖尿病患者的血、尿胱抑素C、肌酐、微量白蛋白、α1-微球蛋白等指标,按微量白蛋白的检测结果将糖尿病患者分为正常、升高两组。结果血、尿胱抑素C在微量白蛋白正常、升高两组均升高(P<0.05),在糖尿病肾病早期检测中血、尿胱抑素C的诊断符合率分别为90.8%、96.9%。结论血、尿胱抑素C有较高的灵敏度和特异性,是糖尿病肾病早期肾损伤的敏感指标。

关 键 词:胱抑素C  糖尿病肾病  微量白蛋白  α1-微球蛋白

Value of blood and urine cystatin C in diabetic nephropathy monitoring
CHEN Zheng-xu,WANG Li,LI Man.Value of blood and urine cystatin C in diabetic nephropathy monitoring[J].Anhui Medical and Pharmaceutical Journal,2011,15(10):1272-1273.
Authors:CHEN Zheng-xu  WANG Li  LI Man
Affiliation:(Department of Clinical Laboratory,The Second People's Hospital of Hefei,Hefei 230011,China)
Abstract:Aim To observe the application effect of blood and urine cystatin C in diabetic nephropathy.Methods Detection of 120 healthy persons and 65 diabetic patients blood and urine cystatin C,creatinine,microalbumin,α1-microglobulin and other indicators was conducted.Based on results of microalbumin diabetic patients were divided into normal and abnormal groups.Results Blood and urine cystatin C in the normal and abnormal group were significantly higher(P0.05).The diagnosis rate of blood and urine cystatin C were 90.8% and 96.9% in diabetic nephropathy.Conclusion Blood and urine cystatin C were sensitive and specific indicators for glomerular damage and renal tubular dysfunction in diabetic nephropathy.
Keywords:cystatin C  DN  MA  α1-MG
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