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2型糖尿病肾病患者血清白介素18、脂联素检测的临床意义
引用本文:唐灵,陈春莲,苏桂兰,甄瑞峰. 2型糖尿病肾病患者血清白介素18、脂联素检测的临床意义[J]. 世界中医药, 2011, 6(4): 297-300
作者姓名:唐灵  陈春莲  苏桂兰  甄瑞峰
作者单位:广西桂林医学院附属医院,广西省桂林市乐群路95号,541001
摘    要:目的:探讨白介素18和脂联素在2型糖尿病肾病(DN)中的水平变化及意义。方法:选择97例2型糖尿病患者,根据尿白蛋白排泄率(UAER)分为3组:正常蛋白尿组,微量蛋白尿组和大量蛋白尿组,另选健康体检者35例为对照组。采用酶联免疫吸附法(ELISA)检测血清脂联素和白介素18(Interleukin-18,IL-18),比较各组间的差异。结果:3组患者血清IL-18明显高于正常对照组(P〈0.05),正常蛋白尿组血清脂联素低于对照组,微量蛋白尿组、大量蛋白尿组血清脂联素高于对照组,差异有统计学意义(P〈0.01)。IL-18与病程、SBP、HbA1c、FPG、TG、TC、LDL-C、BUN、Scr、UAER呈不同程度正相关(P〈0.01),与HDL-C呈负相关(P〈0.01),与其他指标无相关性。脂联素与病程、SBP、BUN、Scr、UAER呈正相关(P〈0.01)。结论:IL18和脂联素与2型DN的发生、发展有关,二者联合检测有助于DN早期诊断及临床治疗监测。

关 键 词:糖尿病肾病  白介素18  脂联素
收稿时间:2011-06-29

Clinical Significance of Serum Interleukin-18 and Adiponectin Level in the Type 2 Diabetic Patients with Nephropathy
Tang Ling,Chenchunlian,Su Guilan,et al.. Clinical Significance of Serum Interleukin-18 and Adiponectin Level in the Type 2 Diabetic Patients with Nephropathy[J]. World Chinese Medicine, 2011, 6(4): 297-300
Authors:Tang Ling  Chenchunlian  Su Guilan  et al.
Affiliation:Tang Ling,Chenchunlian,Su Guilan,et al.(The Affiliated Hospital of Guangxi Guilin Medical College,Add:No.95,Lequn Rood,Guilin,Guangxi Province,Post code:541001)
Abstract:Objective:To investigate the changes and significance of interleukin-18(IL-18) and adiponectin in type 2 diabetic patients with nephropathy.Methods:This study included 96 patients with type 2 diabetes mellitus,These patients were divided into three groups according to the urinary albumin excretion rate(UAER):normalalbuminuria group,micro-albuminuria group and macro-albuminuria,and 35 healthy subjects as control group.Serum adiponectin and IL-18 was measured by enzyme linked immunosorbent assay(ELISA),Compar...
Keywords:Diabetic Nephropathy  Interleukin-18  Adiponectin  
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