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血清cystatin C对小儿肾功能受损诊断的评价
引用本文:陈莎,王佳,邱艳,刘芳,艾洪武. 血清cystatin C对小儿肾功能受损诊断的评价[J]. 临床儿科杂志, 2011, 29(4). DOI: 10.3969/j.issn.1000-3606.2011.04.012
作者姓名:陈莎  王佳  邱艳  刘芳  艾洪武
作者单位:武汉市妇女儿童医疗保健中心检验部,湖北武汉,430016
摘    要:目的 探讨儿童肾小球肾炎患者血清cystatin C(Cys C)水平与肾功能损害程度之间关系.方法 血清Cys C采用乳微粒子增强比浊法测定,血尿素氮(BUN)采用动力学紫外法测定,血肌酐(sCr)采用酶法测定,内生肌酐清除率(Ccr)采用肌氨氧化酶PAP法计算.结果 肾小球肾炎患者肾功能正常期Cys C明显高于正常对照组(P < 0.01),BUN、sCr与对照组差异无统计学意义(P均> 0.05);肾功能不全代偿期,Cys C、sCr与正常对照组差异有统计学意义(P均< 0.01),而BUN与正常对照组差异无统计学意义(P > 0.05);肾功能不全失代偿期及肾衰竭期,Cys C、BUN、sCr值与正常对照组差异有统计学意义(P均< 0.01).肾小球肾炎各期Cys C与BUN、sCr、Ccr均呈正相关(P < 0.01).结论 血清Cys C可敏感地反映肾小球滤过功能受损程度,可作为早期诊断肾小球肾炎的血清学指标.

关 键 词:肾功能  肾小球肾炎

Serum cystatin C in evaluation of the diagnosis in children with impaired renal function
CHEN Sha,WANG Jia,QIU Yan,LIU Fang,AI Hong-wu. Serum cystatin C in evaluation of the diagnosis in children with impaired renal function[J]. The Journal of Clinical Pediatrics, 2011, 29(4). DOI: 10.3969/j.issn.1000-3606.2011.04.012
Authors:CHEN Sha  WANG Jia  QIU Yan  LIU Fang  AI Hong-wu
Affiliation:CHEN Sha,WANG Jia,QIU Yan,LIU Fang,AI Hong-wu(Department of Laboratory Medicine,Wuhan Medicial and Health Center For Women and Children,Wuhan 430016,Hubei,China)
Abstract:Objective To study the relationship of serum cystatin C(Cys C)level with renal function in pediatric patients with glomerulonephritis.Methods Serum Cys C level was determined by a particle-enhanced turbidimetric immunoassay.Blood urea nitrogen(BUN)was measured by UV-kinetic assay.Serum creatinine(sCr)was measured by enzymatic assay.Endogenous creatinine clearance rate(Ccr)was calculated by muscle oxidase Peroxidase-Antiperoxidase method.Results In glomerulnephritis patients with normal renal function,the le...
Keywords:cystain C
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