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肾病患者内源性肾小球滤过率的实验室评价
引用本文:唐荣凤,陈燕梅,黄波.肾病患者内源性肾小球滤过率的实验室评价[J].实用临床医学(江西),2003,4(5):23-25.
作者姓名:唐荣凤  陈燕梅  黄波
作者单位:自贡市第三医院 四川自贡643020 (唐荣凤),自贡市卫生防疫站 四川自贡643000 (陈燕梅),自贡市第三医院 四川自贡643020(黄波)
摘    要:目的 :评估肾病患者内源性肾小球滤过率 (GFR)。方法 :测定了 5 7例肾病患者和 39例健康对照血中CystatinC(CysC )、尿素、肌酐和肌酐清除率浓度。结果 :患者尿素、肌酐、肌酐清除率和CysC浓度与健康对照组间均存在明显差异 (P <0 .0 0 1 ) ;相关分析表明CysC和肌酐清除率之间 (P <0 .0 1 )、CysC和肌酐之间 (P <0 .0 1 )存在明显的相关关系。而肌酐和尿素之间 (P >0 .0 5 ) ,以及肌酐和肌酐清除率之间 (P >0 .0 5 )无明显相关关系存在。结论 :肾病患者血中CysC浓度增高 ,对GFR功能早期受损的评估优于尿素、肌酐和肌酐清除率。

关 键 词:CystatinC  肾病  血液
文章编号:1009-8194(2003)05-0023-03
修稿时间:2003年4月21日

Laboratory Evaluation of Endogenous Glomerular Filtration Rate in Patients with Renal Diseases
Tang Rong feng ,Chen Yan mei ,Huang Bo.Laboratory Evaluation of Endogenous Glomerular Filtration Rate in Patients with Renal Diseases[J].Practical Clinical Medicine,2003,4(5):23-25.
Authors:Tang Rong feng  Chen Yan mei  Huang Bo
Institution:Tang Rong feng 1,Chen Yan mei 2,Huang Bo 1
Abstract:Objective:To evaluate endogenous clearance marker glomerular filtration rate(GFR)in patients with renal diseases.Methods:The serum cystatin C,urea,creatinine,and creatinine clearance levels were determined in 57 patients with renal diseases and 39 healthy controls.Results:The levels of serum urea,creatinine,and creatinine clearance was found to be significantly higher in the patients with renal diseases than those in the healthy controls( P <0.001).The correlation was observed between cystatin Cand creatinine clearance levels( P <0.01),and between cystatin Cand creatinine levels( P <0.01).However,there were not correlation between creatinine and urea concentrations( P >0.05),and between creatinine and creatinine clearance levels( P >0.05).Conclusion:Serum cystatin C is probably more attractive for estimation of renal function than urea,creatinine,and creatinine clearance for detection of GFR in patients with early kidney diseases.
Keywords:cystatin C  renal diseases  blood
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