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吕岩, 张迎春, 赵雪松, 高莹. II型糖尿病肾病患者血清尿酸和胱抑素C检测分析[J]. 中国公共卫生, 2015, 31(5): 666-668. DOI: 10.11847/zgggws2015-31-05-37
引用本文: 吕岩, 张迎春, 赵雪松, 高莹. II型糖尿病肾病患者血清尿酸和胱抑素C检测分析[J]. 中国公共卫生, 2015, 31(5): 666-668. DOI: 10.11847/zgggws2015-31-05-37
LÜ Yan, ZHANG Ying-chun, ZHAO Xue-song.et al, . Serum uric acid and cystatin C in patients with type II diabetic nephropathy[J]. Chinese Journal of Public Health, 2015, 31(5): 666-668. DOI: 10.11847/zgggws2015-31-05-37
Citation: LÜ Yan, ZHANG Ying-chun, ZHAO Xue-song.et al, . Serum uric acid and cystatin C in patients with type II diabetic nephropathy[J]. Chinese Journal of Public Health, 2015, 31(5): 666-668. DOI: 10.11847/zgggws2015-31-05-37

II型糖尿病肾病患者血清尿酸和胱抑素C检测分析

Serum uric acid and cystatin C in patients with type II diabetic nephropathy

  • 摘要: 目的探讨血清尿酸和血清胱抑素C(Cys-C)检测对评价II型糖尿病及合并肾功能损害的临床意义, 并分析其与尿白蛋白排泄率(UAER)的关系。方法收集医院门诊和住院的II型糖尿病患者共253例, 将II型糖尿病患者按其是否有肾脏损伤及损伤程度分为3组:单纯糖尿病组, 糖尿病早期肾病组和糖尿病临床肾病组, 并检测UAER、血清尿酸、Cys-C、血清肌酐(Scr)及尿肌酐, 并计算内生肌酐清除率(Ccr)。结果血清尿酸和血清Cys-C随UAER的增加而增加, 且差异有统计学意义(P<0.05), 此外, 各实验室指标性别间差异均有统计学意义(P<0.05);相关性分析结果显示, 血清尿酸与UAER呈正相关(r=0.728,P<0.05), Cys-C与UAER也呈正相关(r=0.681,P<0.05)。结论在II型糖尿病肾病患者血清中, 血清尿酸和Cys-C均呈现大幅升高的趋势。

     

    Abstract: ObjectiveTo explore the clinical significance of serum uric acid and cystatin C(Cys-C)in patients with type II diabetic nephropathy and to analyze its relationship with urinary albumin excretion rate(UAER).MethodsTotally 253 outpatients and hospitalized patients with type II diabetes were recruited in a hospital and all the patients were divided into one of the three(simple diabetic,early diabetic nephropathy,and clinical diabetic nephropathy)groups according to whether having a kidney damage and its extent;then their UAER,serum uric acid,Cys-C,serum creatinine(Scr),and urine creatinine were detected and their creatinine clearance rates(Ccr)were calculated.ResultsThe serum uric acid and Cys-C increased with the increase of UAER and the difference was statistically significant(P<0.05).In addition,between-gender differences in all the laboratory indicators were statistically significant(all P<0.05).Correlation analysis showed that serum uric acid and Cys-C were positively correlatted with UAER(r=0.728,P<0.05 and r=0.681,P<0.05).ConclusionSerum uric acid and Cys-C increase significantly in the patients with type II diabetic nephropath.

     

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