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尿mAlb/Cr、NAG检测对早期糖尿病肾病的临床意义
引用本文:张磊,邓君,李蓬秋,包明晶.尿mAlb/Cr、NAG检测对早期糖尿病肾病的临床意义[J].内蒙古中医药,2011,30(13):119-120.
作者姓名:张磊  邓君  李蓬秋  包明晶
作者单位:四川省人民医院,610072
摘    要:目的:研究糖尿病患者的尿液微量白蛋白,肌酐(mAlb,Cr)、N-乙酰-β—D氨基葡萄糖苷酶(NAG)与早期糖尿病肾病(DN)的诊断价值关系。方法:将149例糖尿病患者分为两组:糖尿病无肾病组与早期糖尿病肾病组,采用免疫比浊法测定尿微量白蛋白/肌酐,采用速率法检测尿NAG值,并与32例健康对照组比较。结果:糖尿病肾病患者尿mAlb/Cr、NAG明显高于对照组(P〈0.05),且尿微量白蛋白,肌酐与NAG成正相关(r=0.625,r=0.510,P〈0.05)。结论:检测尿mAlb/Cr、NAG有助于尿蛋白阴性的糖尿病肾病的早期诊断。

关 键 词:糖尿病肾病  微白蛋白肌酐比值(mAlb  Cr)  NAG  临床意义

Clinical value of urine mAlb/Cr and NAG for early diabetic nephropathy
Institution:ZHANG Lei,CHEN Shu,DENG Jun,et al. The People’s Hospital of Sichuan,Chengdu,Sichuan 610072,China
Abstract:Objective To investigate the value relationship of urine mAlb/Cr and N-acety-β-D-glucosaminidase (NAG) for early diagnose of early diabetic nephropathy (DN). Methods Urinealbumin was detected by immunity turbiktimctric method. NAG was detected by rate assay . They were detectedin 149 cases of diabetics who were DN or non-DN and 32 normal persons. Results The levels of Urine mAlb/Cr and urine NAG were obviously higher than those in controls (P〈0.05). The urine mAlb/Cr and NAG showed positive correlation (r =0.925, r =0.810, P 〈 0.05). Conclusion The detection of urine mAlb/Cr and NAG with urinary albumen negative is conducive to the early diagnosis of DN.
Keywords:NAG
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