血清胱抑素与妊娠高血压疾病临床观察

目的 研究妊娠高血压疾病与血清胱抑素的相关性。方法 对39例正常妊娠晚期妇女及23例轻度、25例中度、27例重度妊高征患者测定血清中胱抑素的浓度与其他肾功能指标。结果 妊高征患者各指标血清值较正常晚孕者明显增高（P〈0．05）。其中重度妊高征患者的各指标血清值较轻度、中度妊高征明显增高（P〈0．05），轻度、中度妊高征各值相差不明显。胱抑素比血尿酸对重度妊高征有更好的阳性预测率。结论 胱抑素在重度的妊高征中有明显变化，与其他肾功能指标联合能灵敏反映重度妊高征患者早期肾损害。

Serum Cystatin C in Hypertensive Disorder Complicating Pregnancy

Objective To investigate the role of cystatin C in hypertensive disorder complicating pregnancy.Methods Peripheral blood from 39 healthy pregnant women,23 patients with mild gestational hypertension ,25 patients with moderate gestational hypertension and 27 patients with severe gestational hypertension,CysC,BUN,UA and crea were determined .Resultss CysC ,BUN,UA and crea were higher in gestational hypertension group. CysC ,BUN,UA and crea were higher in severe gestational hypertension than mild and moderate gestational hypertension group.CysC had higher positive predictive ratio than UA for severe gestational hypertension.Conclusion CysC was a sensitive index to detect the early defection of kidney in severe gestational hypertension combining with other index such as BUN,UA and crea.