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联合检测血清胱抑素C和同型半胱氨酸在2型糖尿病肾病早期诊断中的意义
引用本文:李君莲,木合塔尔·麦合素提,綦迎成. 联合检测血清胱抑素C和同型半胱氨酸在2型糖尿病肾病早期诊断中的意义[J]. 重庆医学, 2012, 41(7): 654-655. DOI: 10.3969/j.issn.1671-8348.2012.07.010
作者姓名:李君莲  木合塔尔·麦合素提  綦迎成
作者单位:1.新疆维吾尔自治区胸科医院检验科,新疆乌鲁木齐,830049;2.新疆喀什地区第一人民医院,冠心病监护病房,新疆喀什,844000;3.新疆维吾尔自治区胸科医院,新疆乌鲁木齐,830049
摘    要:目的 探讨联合检测血清胱抑素C(Cys C)和同型半胱氨酸(Hcy)在2型糖尿病肾病早期诊断中的意义.方法 将70例2型糖尿病患者按糖尿病肾病诊断标准分为糖尿病肾病组(n=50)与糖尿病无肾损伤组(n=20),选择50例健康人作为正常对照组.同时检测3组患者的肌酐、尿素氮、糖化血红蛋白(GHbA1c)、尿微量清蛋白排泄率(UAER)、Cys C和Hcy.结果 糖尿病肾病组患者肌酐、尿素氮、UAER及Cys C水平高于糖尿病无肾损伤组和正常对照组(P<0.05);糖尿病肾病和糖尿病无肾损伤组分别与正常对照组的GHbA1c水平比较,差异有统计学意义(P<0.05).结论 联合检测Cys C和Hcy

关 键 词:糖尿病肾病  胱抑素  同型半胱氨酸  肾功能试验  诊断

Significance of combined detection of serum cystatin C and homocysteine in early diagnosis of type 2 diabetic nephropathy
Li Junlian,Muhetaerro·Maihesuti,Qi Yingcheng. Significance of combined detection of serum cystatin C and homocysteine in early diagnosis of type 2 diabetic nephropathy[J]. Chongqing Medical Journal, 2012, 41(7): 654-655. DOI: 10.3969/j.issn.1671-8348.2012.07.010
Authors:Li Junlian  Muhetaerro·Maihesuti  Qi Yingcheng
Affiliation:1.Department of Clinical Laboratory,Chest Hospital of Xinjiang Uygur Autonomous Region,Urumqi,Xinjiang 830049, China;2.Coronary Care Unit,the First People′s Hospital of Kashi in Xinjiang,Kashi,Xingjiang 844000, China;3.Chest Hospital of Xinjiang Uygur Autonomous Region,Urumqi,Xinjiang 830049,China)
Abstract:Objective To explore the significance of combined detection of serum cystatin C(Cys C) and homocysteine(Hcy) in early diagnosis of type 2 diabetic nephropathy.Methods 70 patients with type 2 diabetes mellitus divided into diabetic nephropathy group(n=50) and diabetes without kidney injury group(n=20) according to the diagnostic criteria for diabetic nephropathy,and 50 healthy people served as normal control group.Serum reatinine,blood urea nitrogen,glycated hemoglobin(GHbA1c),urinary albumin excretion rate(UAER),Cys C and Hcy of patients in the three groups were detected simultaneously.Results Levels of serum creatinine,bloos urea nitrogen,UAER and Cys C of patients in diabetic nephropathy group were significantly higher than those in diabetes without kidney injury group and normal control group(P<0.05).Compared levels of GHbA1c of patients in diabetic nephropathy group and diabetes without kidney injury group with those in normal control group,respectively,differences showed statistically significance(P<0.05).Conclusion Combined detection of Cys C and Hcy can serve as an important indicator for early diagnosis of kidney injury in patients with type 2 diabetic nephropathy.
Keywords:diabetic nephropathies  cystatin  homocysteine  kidney function tests  diagnosis
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