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肾病患者内源性肾小球滤过率的实验室评价 被引量:2

Laboratory Evaluation of Endogenous Glomerular Filtration Rate in Patients with Renal Diseases
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摘要 目的 :评估肾病患者内源性肾小球滤过率 (GFR)。方法 :测定了 5 7例肾病患者和 39例健康对照血中CystatinC(CysC )、尿素、肌酐和肌酐清除率浓度。结果 :患者尿素、肌酐、肌酐清除率和CysC浓度与健康对照组间均存在明显差异 (P <0 .0 0 1 ) ;相关分析表明CysC和肌酐清除率之间 (P <0 .0 1 )、CysC和肌酐之间 (P <0 .0 1 )存在明显的相关关系。而肌酐和尿素之间 (P >0 .0 5 ) ,以及肌酐和肌酐清除率之间 (P >0 .0 5 )无明显相关关系存在。结论 :肾病患者血中CysC浓度增高 ,对GFR功能早期受损的评估优于尿素、肌酐和肌酐清除率。 Objective:To evaluate endogenous clearance marker glomerular filtration rate(GFR)in patients with renal diseases.Methods:The serum cystatin C,urea,creatinine,and creatinine clearance levels were determined in 57 patients with renal diseases and 39 healthy controls.Results:The levels of serum urea,creatinine,and creatinine clearance was found to be significantly higher in the patients with renal diseases than those in the healthy controls( P <0.001).The correlation was observed between cystatin Cand creatinine clearance levels( P <0.01),and between cystatin Cand creatinine levels( P <0.01).However,there were not correlation between creatinine and urea concentrations( P >0.05),and between creatinine and creatinine clearance levels( P >0.05).Conclusion:Serum cystatin C is probably more attractive for estimation of renal function than urea,creatinine,and creatinine clearance for detection of GFR in patients with early kidney diseases.
出处 《实用临床医学(江西)》 CAS 2003年第5期23-25,共3页 Practical Clinical Medicine
关键词 CYSTATINC 肾病 血液 cystatin C renal diseases blood
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参考文献5

  • 1Perrone RD,Masias NE,Levey AS.Serum creatinine as an indes of renal function: new in sights into old concepts[].Clinical Chemistry.1992
  • 2Price CP,Finney H.Developnents in the assessment of glomerular filtration rate[].Clinica Chimica Acta.2000
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同被引文献7

  • 1Tenstak O,Roald AB,Grubb A,et al.Scand J Clin Lab Invest, 1996,56: 409.
  • 2Finney, H, Newman DJ, Gruber W, et al. Initial evalution of Cystatin C measurement by particle-enhanced immunonephelometryon the Behring nephelometer systems [J]. Clin Chem, 1997,43 (6) : 1016.
  • 3Eir P, Froidevaux C. Cystatin C concentration and glomerular filtration rate [J]. Lancet, 2001,357 (9256) :634.
  • 4Coll E, Botey A. Serum Cystatin C as a new marker for noninvasive estimation of glomerular filtration rate and as a marker for early renal impairment[J]. Am J Kidney Dis, 2000,36( 1 ) : 29.
  • 5Paskalev E, Lambreva L, Simeonov P, et al. Serum cystatin C in renal transplant patients. Clin Chim Acta, 2001, 310 ( 1 ) :53-56.
  • 6赵子秀.血清胱蛋白酶抑制剂C测定的临床意义[J].国外医学(泌尿系统分册),2002,22(2):103-104. 被引量:42
  • 7沈清.一种新的反映肾小球滤过功能的指标:cystatinC[J].国外医学(泌尿系统分册),2002,22(1):6-9. 被引量:97

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