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晚期妊娠妇女尿脱氧吡啶啉与尿肌酐比值的测定及临床意义
引用本文:杨立伟,毛威,王亮,应奇峰,周永列,程素兰.晚期妊娠妇女尿脱氧吡啶啉与尿肌酐比值的测定及临床意义[J].中国生育健康杂志,2001,12(3):107-109.
作者姓名:杨立伟  毛威  王亮  应奇峰  周永列  程素兰
作者单位:1. 310014,杭州,浙江省人民医院妇产科
2. 浙江中医学院西内科教研室
3. 310014,杭州,浙江省人民医院中心实验室
摘    要:目的了解正常晚期妊娠(晚妊)妇女尿脱氧吡啶啉(deoxypyridinoline,DPD)和尿肌酐(creatinine,Cr)比值(DPD/Cr)及其与骨钙代谢关系.方法测定80例正常晚妊妇女(1ate normal pregnant women,LPW)及22例正常非孕妇女(normal nonpregnant women,NPW)尿DPD、尿Cr和血钙离子浓度(serum calcium,SCa),并计算DPD/Cr.尿DPD浓度用化学发光法测定.结果晚妊妇女尿DPD/Cr比值明显增高,与正常非孕妇女比较,差异有显著性(P<0.001),晚妊妇女SCa与正常非孕妇女比较略有下降,但差异无显著性(P>0.05).结论尿DPD/Cr较SCa能更准确、灵敏、特异地反映体内缺钙状况,是孕期保健中值得推荐的骨钙代谢监测指标.

关 键 词:尿脱氧吡啶啉  尿肌酐  血钙  晚期妊娠妇女
修稿时间:2001年2月22日

Measurement and clinical significance of the ratio of urine deoxypyridinoline and urine creatinine in late normal pregnant women
YANG Liwei,MAO Wei,WANG Liang,et al..Measurement and clinical significance of the ratio of urine deoxypyridinoline and urine creatinine in late normal pregnant women[J].Chinese JOurnal of Reproductive Health,2001,12(3):107-109.
Authors:YANG Liwei  MAO Wei  WANG Liang  
Institution:YANG Liwei,MAO Wei,WANG Liang,et al. Gynaecologic and Obstetrical Department,Zhejiang Provincial People's Hospital,hangzhou 310014,China
Abstract:Objective To investigate the ratio of urine deoxypyridinoline (DPD) and uring creatinine (Cr) (DPD/Cr) in late normal pregnant women (LPW) and the relationship between DPD/Cr and bone calcium metabolism. Methods The parameters, DPD/Cr and serum calcium comcentration (SCa) were measurde in 80 LPW and 20 normal non-pregnant wome (NPW). DPD was detected by chemoluminescent immunoassay (CLI-A). Results Urine DPD/Cr in LPW group was significantly higher than that in NPW group (P<0. 001) but SCa level did not show significant difference between these two groups (P>0. 05), although SCa level lowered slightly in LPW group. Conclusion Urine DPD/Cr could reflect lack of calcium within body more sensitively, accurately and specifically than SCa, and may be used as a valuable parameter to detect bone calcium metabolism during pregnancy.
Keywords:Urine deoxypyridinoline  Urine creatinine  Serum calcium concentration  Late normal pregnant women
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