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尿β_2-微球蛋白在2型糖尿病肾病早期诊断中的价值
引用本文:王转锁,宋钦华,李凤良,张苏河,张东铭. 尿β_2-微球蛋白在2型糖尿病肾病早期诊断中的价值[J]. 海南医学院学报, 2004, 10(1): 20-23
作者姓名:王转锁  宋钦华  李凤良  张苏河  张东铭
作者单位:海南医学院附属医院内科,海口,570102
摘    要:目的:探讨24h尿β2-微球蛋白(β2-MG)排泄量在糖尿病肾病(DN)中的早期诊断价值。方法:用放射免疫法测定70例2型糖尿病(DM)患者和24例正常对照者24h尿白蛋白(Alb)排泄量和24h尿β2-MG排泄量。结果押随着DN的发展熏24h尿Alb排泄量和24h尿β2-MG排泄量逐渐增高。在糖尿病(DM)患者中24h尿Alb排泄量与24h尿β2-MG排泄量成正相关(r=0.576,P=0.000)。结论押24h尿Alb排泄量和24h尿β2-MG排泄量联检有助于全面评估DM的肾脏损害,早期诊断DN。

关 键 词:糖尿病肾病  诊断  球蛋白  尿
文章编号:1007-1237(2004)01-0020-03
修稿时间:2003-09-15

DIAGNOSTIC VALUE OF URINARY β2-MICROGLOBULIN IN PATIENTS WITH DIABETIC NEPHROPATHY
WANG Zhuan-suo,SONG Qin-hua,LI Feng-liang,et al.. DIAGNOSTIC VALUE OF URINARY β2-MICROGLOBULIN IN PATIENTS WITH DIABETIC NEPHROPATHY[J]. Journal of Hainan Medical College, 2004, 10(1): 20-23
Authors:WANG Zhuan-suo  SONG Qin-hua  LI Feng-liang  et al.
Abstract:Objective :The purpose of this study is to evaluate the value of urinary β 2 -microg lobulin( β 2 -MG)in the early diagnosis of diabetic nephropathy(DN). Methods :Both24hours urinary Alb and β 2 -MG excretion amount were measured from70type2DM patients and24normal people as the control group respectively by radioimmunoassay. Res ults :It showed that both24hours urinary Alb and β 2 -MG excretion amount were increased gradually following the DN development.24hours urinary Alb excretion amount in patients with DM showed a significant positive correlation24hours( urinary with β 2 -MG excretion amount ( r=0.576 ,P=0.000 ) . Conclus ion:Joined determination of24hours urinary Alb and urinary β 2 -MG excretion amount may be conducive to evaluate the renal damage in DM and to diagnose DN early.
Keywords:Diabetic nephropathy  Diagnosis  Globulin  Urine
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