高级检索
赵焕虎, 王齐, 陈建伟, 张裕增, 周宜开, 叶临湘. 镉暴露人群早期肾损伤指标敏感性比较[J]. 中国公共卫生, 2009, 25(8): 975-976. DOI: 10.11847/zgggws2009-25-08-44
引用本文: 赵焕虎, 王齐, 陈建伟, 张裕增, 周宜开, 叶临湘. 镉暴露人群早期肾损伤指标敏感性比较[J]. 中国公共卫生, 2009, 25(8): 975-976. DOI: 10.11847/zgggws2009-25-08-44
ZHAO Huan-hu, WANG Qi, CHEN Jian-wei, . Comparison of blood and urinary cadmium as sensitive indicators in pre-stage renal injury[J]. Chinese Journal of Public Health, 2009, 25(8): 975-976. DOI: 10.11847/zgggws2009-25-08-44
Citation: ZHAO Huan-hu, WANG Qi, CHEN Jian-wei, . Comparison of blood and urinary cadmium as sensitive indicators in pre-stage renal injury[J]. Chinese Journal of Public Health, 2009, 25(8): 975-976. DOI: 10.11847/zgggws2009-25-08-44

镉暴露人群早期肾损伤指标敏感性比较

Comparison of blood and urinary cadmium as sensitive indicators in pre-stage renal injury

  • 摘要: 目的 通过对湖北省黄石市某有色金属冶炼厂周边地区镉污染暴露人群血、尿等生物样品的检测,在血镉、尿镉中筛选出能敏感反映镉性肾早期损伤的暴露指标。方法 现场采集污染区389人和对照区居民260人的血液和尿液,检测血镉、尿镉、尿肌酐、尿β2-微球蛋白(β2-MG)及尿N-乙酰-B-D-氨基葡萄糖苷酶(NAG)等5项生物指标,以尿β2-MG及尿NAG酶二者之一超标为肾早期损伤阳性判断标准,通过接受者工作特征曲线(ROC)曲线下面积和Logistic回归模型的标准化偏回归系数来判断暴露指标血镉、尿镉的敏感性。结果 649份样本中,血镉ROC曲线下面积(0.569,P<0.05)小于尿镉的ROC曲线下面积(0.725,P<0.05);相对肾早期损伤,尿镉的标准化偏回归系数(0.5036)大于血镉(-0.0212)。结论 对于肾早期损伤的判断,暴露指标尿镉优于血镉。

     

    Abstract: Objective To find better indicator of pre-stage renal injury in cadmium exposed population around a factory in Huangshi city.Methods Blood and urine samples from 649 participators were collected,and areas under the curves of blood and urine cadmium were calculated with SPSS softwaer.Then with standardized partial regression,coefficients of logistic regression model were used for judement of the indicators.Results Among 649 samples,area under the receiver operating characteristic curves of blood cadmium(0.569)was not as large as that of urinary cadmium(0.725).And urine cadmium!s standardized partial regression coefficient(0.5036)was 23.75 times higher that that of blood cadmium's (-0.0212)in logistic regression model.Conclusion Urine cadmiumis superior to blood cadmium in reflecting cadmiuminduced renal dysfunction.

     

/

返回文章
返回