期刊文献+
共找到332篇文章
< 1 2 17 >
每页显示 20 50 100
The Use of Glycated Albumin in the Diagnosis of Gestational Diabetes Mellitus
1
作者 Atochi Prince Woruka Celestine Osita John 《Journal of Biosciences and Medicines》 2024年第1期19-28,共10页
Gestational diabetes mellitus is the most common endocrine disorder in pregnancy and a cause of maternal and fetal morbidities and mortalities. The oral glucose tolerance test is the gold standard for diagnosing gesta... Gestational diabetes mellitus is the most common endocrine disorder in pregnancy and a cause of maternal and fetal morbidities and mortalities. The oral glucose tolerance test is the gold standard for diagnosing gestational diabetes mellitus. Nevertheless, the oral glucose tolerance test is time-consuming and requires patient preparation. On the contrary, Glycated albumin does not require patient preparation or administration of any substance. Most studies on glycated albumin in pregnancy were among the non-African population, and black Americans have higher glycated albumin levels than Caucasians. This study determined the use of glycated albumin in diagnosing gestational diabetes mellitus among pregnant women. The study was a prospective study of 160 pregnant women between 24 and 28 weeks of gestation at the University of Port Harcourt Teaching Hospital. The diagnosis of gestational diabetes mellitus was based on the World Health Organization 2013 criteria. The diagnostic value of glycated albumin was determined using the area under the receiver operator characteristic curve. The prevalence of gestational diabetes mellitus was 9.4% and the mean glycated albumin was 16.91% (±2.77). The area under the receiver operator characteristic curve for glycated albumin was 0.845 (95% CI 0.733 - 0.956;p = 0.0001). The optimal cut-off value of glycated albumin in the diagnosis of gestational diabetes mellitus was 18.9%. Glycated albumin was useful in the diagnosis of gestational diabetes mellitus at 24 to 28 weeks of gestation. 展开更多
关键词 glycated albumin Gestational Diabetes Mellitus Oral Glucose Tolerance Test University of Port Harcourt Teaching Hospital
下载PDF
Elevation of the glycated albumin to glycated hemoglobin ratio during the progression of hepatitis C virus related liver fibrosis 被引量:10
2
作者 Nobuhiro Aizawa Hirayuki Enomoto +12 位作者 Hiroyasu Imanishi Masaki Saito Yoshinori Iwata Hironori Tanaka Naoto Ikeda Yoshiyuki Sakai Tomoyuki Takashima Takashi Iwai Ei-ichiro Moriwaki Soji Shimomura Hiroko Iijima Hideji Nakamura Shuhei Nishiguchi 《World Journal of Hepatology》 CAS 2012年第1期11-17,共7页
AIM: To analyze the relationship between the glycated albumin (GA) to glycated hemoglobin (HbA1c) ratio and the histological grading of liver fibrosis.METHODS: The study retrospectively included consecutive hepatitis ... AIM: To analyze the relationship between the glycated albumin (GA) to glycated hemoglobin (HbA1c) ratio and the histological grading of liver fibrosis.METHODS: The study retrospectively included consecutive hepatitis C virus positive chronic liver disease patients (n = 142) who had undergone percutaneous liver biopsy between January 2008 and March 2010 at our institution. The ratios of GA/HbA1c were calculated in all patients to investigate the relationship with the degree of the liver fibrosis. The values of the aspartate aminotransferase-to-platelet ratio index (APRI), an excellent marker for the evaluation of liver fibrosis, were also calculated. In addition, we combined the ratio of GA/HbA1c and the APRI in order to improve our ability to detect the presence of significant liver fibrosis. RESULTS: Sixty-one (43%) patients had either no fibrosis or minimal fibrosis (METAVIR score: F0-F1), while 25 (17%) had intermediate fibrosis (F2). Fifty-six (39%) patients had severe fibrosis (F3-F4) and 27 of them had cirrhosis (F4). The mean values of the GA/HbA1c increased with the progression of the fibrosis (F0-1: 2.83 ± 0.24, F2: 2.85 ± 0.24, F3: 2.92 ± 0.35, F4: 3.14 ± 0.54). There was a significant dif- ference between the F0-F1 vs F4, F2 vs F4, and F3 vs F4 groups (P < 0.01, P < 0.01, P < 0.01 and P < 0.05, respectively). The GA/HbA1c ratio was significantly higher in the patients with cirrhosis (F4) than in those without cirrhosis (F0-F3) (3.14 ± 0.54 vs 2.85 ± 0.28, P < 0.0001). The GA/HbA1c ratio was also significantly higher in the patients with severe fibrosis (F3-F4) than in those without severe liver fibrosis (F0-F2) (3.03 ± 0.41 vs 2.84 ± 0.24, P < 0.001). Furthermore, the GA/ HbA1c ratio was also significantly higher in the patients with significant fibrosis (F2-F4) than in those without significant liver fibrosis (F0-F1) (2.98 ± 0.41 vs 2.83 ± 0.24, P < 0.001). The diagnostic performance of the increased GA/HbA1c ratio (> 3.0) was as follows: its sensitivity and specificity for the detection of liver cirrhosis (F4) were 59.3% and 70.4%, respectively and its sensitivity and specificity for the detection of severe liver fibrosis (F3-F4) were 50.0% and 74.4%,respectively. With regard to the detection of significant fibrosis (F2-F4), its sensitivity was 44.4% and its specificity was 77.0%. Although even the excellent marker APRI shows low sensitivity (25.9%) for distinguishing patients with or without significant fibrosis, the combination of the APRI and GA/HbA1c ratio increased the sensitivity up to 42.0%, with only a modest decrease in the specificity (from 90.2% to 83.6%). CONCLUSION: The GA/HbA1c ratio increased in line with the histological severity of liver fibrosis, thus suggesting that this ratio is useful as a supportive index of liver fibrosis. 展开更多
关键词 glycated albumin glycated HEMOGLOBIN LIVER fibrosis LIVER BIOPSY Hepatitis C virus
下载PDF
Glycated albumin as a biomarker for diagnosis of diabetes mellitus:A systematic review and meta-analysis
3
作者 Jia-Yao Xiong Jun-Mei Wang +5 位作者 Xiao-Lan Zhao Chao Yang Xian-Shu Jiang Yan-Mei Chen Chang-Qin Chen Zhi-Yong Li 《World Journal of Clinical Cases》 SCIE 2021年第31期9520-9534,共15页
BACKGROUND Glycated albumin(GA),the non-enzymatic glycation product of albumin in plasma,became a glycemic marker in the beginning of the 21st century.The assay is not affected by hemoglobin levels and reflects the gl... BACKGROUND Glycated albumin(GA),the non-enzymatic glycation product of albumin in plasma,became a glycemic marker in the beginning of the 21st century.The assay is not affected by hemoglobin levels and reflects the glycemic status over a shorter period as compared to HbA1c measurements.Thus,GA may contributes as an intermediate glucose index in the current diabetes mellitus(DM)diagnostic system.AIM To search and summarize the available data on glycated albumin measurements required for the diagnosis of diabetes mellitus.METHODS Databases,including PubMed,Embase,Web of Science,and Cochrane Central Register of Controlled Trials(CENTRAL),among others,were systematically searched.The Quality Assessment of Diagnostic Accuracy Studies-2 tool was applied for the assessment of quality,and the bivariate model was used to pool the sensitivity and specificity.The hierarchical summary receiver operator characteristic curves(HSROC)model was utilized to estimate the summary receiver operating characteristics curve(SROC).Sensitivity analysis was performed to investigate the association of the study design and patient characteristics with the test accuracy and meta-regression to find the source of heterogeneity.RESULTS Three studies regarding gestational diabetes mellitus(GDM)and a meta-analysis of 16 non-GDM studies,comprising a total sample size of 12876,were included in the work.Results reveal that the average cut-off values of GA reported for the diagnosis of GDM diagnosis was much lower than those for non-GDM.For non-GDM cases,diagnosing DM with a circulating GA cut-off of 14.0%had a sensitivity of 0.766(95%CI:0.539,0.901),specificity of 0.687(95%CI:0.364,0.894),and area under the curve of 0.80(95%CI:0.76,0.83)for the SROC.The estimated SROC at different GA cut-off values for non-GDM exhibited that the average location parameter lambda of 16 non-GDM studies was 2.354(95%CI:2.002,2.707),and the scale parameter beta was-0.163(95%CI:-0.614,0.288).These non-GDM studies with various thresholds had substantial heterogeneity,which may be attributed to the type of DM,age,and body mass index as possible sources.CONCLUSION Glycated albumin in non-DM exhibits a moderate diagnostic accuracy.Further research on the diagnostic accuracy of GA for GDM and combinational measurements of GA and other assays is suggested. 展开更多
关键词 glycated albumin Diabetes mellitus DIAGNOSIS Sensitivity and Specificity Systematic review META-ANALYSIS
下载PDF
Use of glycated albumin for the identification of diabetes in subjects from northeast China
4
作者 Guo-Yan Li Hao-Yu Li Qiang Li 《World Journal of Diabetes》 SCIE 2021年第2期149-157,共9页
BACKGROUND Metabolic memory is important for the diagnosis and treatment of diabetes in the early stage,and in maintaining blood glucose concentrations within the normal range.The clinical diagnosis of diabetes mellit... BACKGROUND Metabolic memory is important for the diagnosis and treatment of diabetes in the early stage,and in maintaining blood glucose concentrations within the normal range.The clinical diagnosis of diabetes mellitus is currently made using fasting plasma glucose,2 h-plasma glucose(2h-PG)during a 75 g oral glucose tolerance test,and hemoglobin A1c(HbA1c)level.However,the fasting plasma glucose test requires fasting,which is a barrier to screening,and reproducibility of the 2h-PG level is poor.HbA1c is affected by a shortened red blood cell lifespan.In patients with anemia and hemoglobinopathies,the measured HbA1c levels may be inaccurate.Compared with HbA1c,glycated albumin(GA)is characterized by more rapid and greater changes,and can be used to diagnose new-onset diabetes especially if urgent early treatment is required,for example in gestational diabetes.In this study,we provided cutoff values for GA and evaluated its utility as a screening and diagnostic tool for diabetes in a large high-risk group study.AIM To evaluate the utility of GA in identifying subjects with diabetes in northeast China,and to assess the diagnostic accuracy of the proposed GA cutoff in the diagnosis of diabetes mellitus.METHODS This cross-sectional study included 1935 subjects,with suspected diabetes or in high-risk groups,from 2014 to 2015 in the Second Affiliated Hospital of Harbin Medical University(Harbin,China).The use of GA to identify diabetes was investigated using the area under the receiver operating characteristic curve(AUC).The GA cutoffs were derived from different 2h-PG values with hemoglobin A1c cutoffs used as a calibration curve.RESULTS The GA cutoff for the diagnosis of diabetes mellitus was 15.15%from the receiver operating characteristic(ROC)curve.ROC analysis demonstrated that GA was an efficient marker for detecting diabetes,with an AUC of 90.3%.CONCLUSION Our study supports the use of GA as a biomarker for the diagnosis of diabetes. 展开更多
关键词 glycated albumin Receiver operating characteristic CUT-OFF Hemoglobin A1c Diagnosis Diabetes mellitus
下载PDF
Carbohydrate Intake Is Correlated with the Glycated Albumin to Glycated Hemoglobin Ratio in Drug-Naive Patients with Type 2 Diabetes
5
作者 Satoru Sumitani Yoshihiko Utsu +8 位作者 Shuhei Nishina Kenta Okuro Atsushi Kogetsu Seigo Ishii Akiko Deguchi Bunzo Sato Isao Tachibana Soji Kasayama Masafumi Koga 《Journal of Diabetes Mellitus》 2016年第1期10-15,共6页
Background: The glycated albumin (GA) to HbA1c ratio (GA/HbA1c ratio) has been reported to reflect postprandial hyperglycemia. Carbohydrate is the primary dietary macronutrient that causes postprandial hyperglycemia. ... Background: The glycated albumin (GA) to HbA1c ratio (GA/HbA1c ratio) has been reported to reflect postprandial hyperglycemia. Carbohydrate is the primary dietary macronutrient that causes postprandial hyperglycemia. Thus, we investigated whether carbohydrate intake was associated with the GA/HbA1c ratio in patients with type 2 diabetes. Methods: Daily energy intake and carbohydrate intake were estimated in twenty-two patients with type 2 diabetes who received no pharmacological therapy (18 men and 4 women, age 53 ± 11 years old). The energy index and the carbohydrate index were defined as the ratio of daily energy intake to body weight and daily carbohydrate intake to body weight, respectively. Results: The energy index was significantly correlated with the GA/HbA1c ratio (r = 0.451, p = 0.035), but not with fasting plasma glucose (FPG), HbA1c and GA. The carbohydrate index was significantly correlated with GA (r = 0.461, p = 0.031) and the GA/HbA1c ratio (r = 0.554, p = 0.007), but not with FPG and HbA1c. Multivariate analysis revealed that the carbohydrate index was independently associated with the GA/HbA1c ratio (β = 0.397, p = 0.046). Conclusions: The carbohydrate index was significantly correlated with GA and the GA/HbA1c ratio in the patients with type 2 diabetes. These results suggest that carbohydrate intake may be associated with the GA/HbA1c ratio through postprandial hyperglycemia. 展开更多
关键词 glycated albumin HBA1C Type 2 Diabetes Mellitus CARBOHYDRATE Postprandial Hyperglycemia
下载PDF
Comprehensive overview of human serum albumin glycation in diabetes mellitus 被引量:1
6
作者 Hong-Yan Qiu Ning-Ning Hou +4 位作者 Jun-Feng Shi Yong-Ping Liu Cheng-Xia Kan Fang Han Xiao-Dong Sun 《World Journal of Diabetes》 SCIE 2021年第7期1057-1069,共13页
The presence of excess glucose in blood is regarded as a sweet hurt for patients with diabetes.Human serum albumin(HSA)is the most abundant protein in human plasma,which undergoes severe non-enzymatic glycation with g... The presence of excess glucose in blood is regarded as a sweet hurt for patients with diabetes.Human serum albumin(HSA)is the most abundant protein in human plasma,which undergoes severe non-enzymatic glycation with glucose in patients with diabetes;this modifies the structure and function of HSA.Furthermore,the advanced glycation end products produced by glycated HSA can cause pathological damage to the human body through various signaling pathways,eventually leading to complications of diabetes.Many potential glycation sites on HSA have different degrees of sensitivity to glucose concentration.This review provides a comprehensive assessment of the in vivo glycation sites of HSA;it also discusses the effects of glycation on the structure and function of HSA.Moreover,it addresses the relationship between HSA glycation and diabetes complications.Finally,it focuses on the value of non-enzymatic glycation of HSA in diabetes-related clinical applications. 展开更多
关键词 Diabetes mellitus Human serum albumin Non-enzymatic glycation Advanced glycation end products glycation sites Diabetic complications
下载PDF
GA、HbA1c及其比值在T2DM常见并发症中的应用价值研究
7
作者 郑盼盼 刘赞朝 +3 位作者 张培 杜蒙 李蓉 赵增毅 《国际检验医学杂志》 CAS 2023年第22期2757-2761,共5页
目的探讨糖化清蛋白(GA)、GA和糖化血红蛋白(HbA1c)比值(GA/HbA1c)与下肢痛性糖尿病周围神经病变及糖尿病足的关系。方法选择2021年1-9月于石家庄市第二医院住院的2型糖尿病(T2DM)患者中随机选取单纯T2DM 53例、T2DM合并下肢痛性周围神... 目的探讨糖化清蛋白(GA)、GA和糖化血红蛋白(HbA1c)比值(GA/HbA1c)与下肢痛性糖尿病周围神经病变及糖尿病足的关系。方法选择2021年1-9月于石家庄市第二医院住院的2型糖尿病(T2DM)患者中随机选取单纯T2DM 53例、T2DM合并下肢痛性周围神经病变(PDPN)56例和T2DM合并糖尿病足(DF)52例。比较组间一般资料及生化指标、血糖控制指标,分析GA、GA/HbA1c比值与各项差异指标的相关性,采用多因素Logistic回归分析GA、GA/HbA1c比值与PDPN、DF的关系。结果组间年龄、病程、空腹血糖(FBG)、平均血糖(eAG)、高密度脂蛋白胆固醇(HDL-C)、载脂蛋白A1(apoA1)、血红蛋白(Hb)、血细胞比容(HCT)、平均红细胞血红蛋白量(MCH)、超敏C反应蛋白(hs-CRP)、超氧化物歧化酶(SOD)、肌酐(Cr)、尿素氮(BUN)、GA、GA/HbA1c比值差异有统计学意义(P<0.05)。组间GA、GA/HbA1c比值呈逐渐升高趋势(P<0.05)。不同GA、GA/HbA1c比值水平DF患病率差异有统计学意义,DF患病率随GA、GA/HbA1c比值增大呈升高趋势(P<0.05)。多因素Logistic回归分析表明,在调整了性别、年龄、体质量指数(BMI)和病程等混杂因素后,GA是PDPN发病的危险因素,GA、GA/HbA1c比值是DF发病的危险因素。结论GA、GA/HbA1c比值检测对辅助诊断PDPN、DF具有重要价值。 展开更多
关键词 2型糖尿病 痛性糖尿病周围神经病变 糖尿病足 糖化清蛋白 糖化血红蛋白
下载PDF
FPG、GA、HbA1c及GA/HbA1c比值在T1DM/T2DM中的诊疗价值 被引量:8
8
作者 王菊英 姚琳芳 +1 位作者 周立荣 李锋 《中国免疫学杂志》 CAS CSCD 北大核心 2015年第11期1536-1540,共5页
目的:探讨空腹血糖(FPG)、糖化清蛋白(GA)、糖化血红蛋白(HbA1c)及GA/HbA1c比值在1型糖尿病(T1DM)和2型糖尿病(T2DM)中的诊疗价值。方法:采用病例对照研究。以30例健康体检人群为正常对照组,以临床明确诊断的160例糖尿病患者为研究病例... 目的:探讨空腹血糖(FPG)、糖化清蛋白(GA)、糖化血红蛋白(HbA1c)及GA/HbA1c比值在1型糖尿病(T1DM)和2型糖尿病(T2DM)中的诊疗价值。方法:采用病例对照研究。以30例健康体检人群为正常对照组,以临床明确诊断的160例糖尿病患者为研究病例组,其中1型糖尿病(T1DM)组为76例、2型糖尿病(T2DM)组为84例,应用SPSS软件进行独立样本t检验、绘制受试者工作曲线(ROC曲线)及Pearson相关性检验,统计分析对照组与病例组,T1DM及T2DM组各组间FPG、GA及HbA1c的检测结果的相关性、GA/HbA1c比值及诊断切点的差异。结果:T1DM及T2DM组FPG、GA及HbA1c的检测结果及GA/HbA1c比值均明显高于对照组,且T1DM组高于T2DM组,P值均<0.01;T1DM组中HbA1c与GA成显著性正相关(P<0.01),FPG与GA呈弱正相关(P>0.05)、与HbA1c呈弱负相关(P>0.05);T2DM组中FPG、GA及HbA1c均成正相关(P值均<0.05),相关程度依次为HbA1c/GA>FPG/GA>FPG/HbA1c;评估各指标的ROC曲线分析:T1DM组中,FPG、GA、HbA1c及GA/HbA1c比值作为诊断糖尿病(DM)的切点分别为5.86 mmol/L[曲线下面积(AUC)=0.922]、15.5%(AUC=1.00)、6.10%(AUC=1.00)及2.95(AUC=0.992),其敏感性为86.8%、100%、98.7%及93.4%,特异性均为100%,P值均<0.05;T2DM组中,FPG、GA及HbA1c作为诊断DM的切点分别为5.94 mmol/L(AUC=0.941)、15.5%(AUC=0.977)及5.95%(AUC=0.991),其敏感性为91.7%、85.7%及97.6%,特异性均为100%(P值均<0.05),GA/HbA1c比值无诊断切点(AUC=0.644,P值>0.05)。结论:FPG、GA、HbA1c及GA/HbA1c比值在T1DM和T2DM中具有极高的疗效观察、诊断及分型价值,应用各指标生物参考区间上限诊断T1DM和T2DM均存在漏检现象,T1DM患者密切关注FPG水平更为重要。 展开更多
关键词 糖尿病 空腹血糖 糖化清蛋白 糖化血红蛋白 糖化清蛋白/糖化血红蛋白比值 ROC曲线
下载PDF
血清GA、ADP、RBP4、Hcy与妊娠糖尿病胰岛素抵抗的相关性研究 被引量:22
9
作者 崔淑娟 张晶 +1 位作者 马艳芬 张倩 《疑难病杂志》 CAS 2016年第4期401-404,共4页
目的探讨糖化白蛋白(GA)、脂联素(ADP)、视黄醇结合蛋白4(RBP4)、同型半胱氨酸(Hcy)与妊娠糖尿病(GDM)胰岛素抵抗的关系。方法选取2014年7月—2015年7月保定市妇幼保健院GDM患者80例(GDM组)、正常孕妇80例(正常妊娠组)及正常非妊娠期妇... 目的探讨糖化白蛋白(GA)、脂联素(ADP)、视黄醇结合蛋白4(RBP4)、同型半胱氨酸(Hcy)与妊娠糖尿病(GDM)胰岛素抵抗的关系。方法选取2014年7月—2015年7月保定市妇幼保健院GDM患者80例(GDM组)、正常孕妇80例(正常妊娠组)及正常非妊娠期妇女80例(正常非妊娠组),比较3组血清GA、ADP、RBP4、Hcy水平,分析GA、ADP、RBP4、Hcy与GDM孕妇胰岛素抵抗的关系。结果 GDM组血清GA、RBP4、Hcy水平分别为(18.36±0.98)%、(42.98±2.28)mg/L、(22.36±2.58)μg/L,均显著高于正常妊娠组的(14.22±2.05)%、(34.22±3.48)mg/L、(11.25±2.98)μg/L以及正常非妊娠组的(14.36±2.69)%、(30.02±2.96)mg/L、(11.02±2.79)μg/L,而ADP水平为(4.23±1.42)mg/L,显著低于正常妊娠组的(9.23±2.58)mg/L以及正常非妊娠组的(9.78±2.69)mg/L(P<0.05),正常妊娠组RBP4水平高于正常非妊娠组(P<0.05)。GDM组空腹血糖(FPG)、空腹胰岛素(FINS)、胰岛素抵抗指数(HOMA-IR)高于正常妊娠组及正常非妊娠组(P<0.05),正常妊娠组FPG、FINS、HOMA—IR高于正常非妊娠组,但差异无统计学意义(P>0.05)。经Pearson相关因素分析可知,GA、RBP4、Hcy与FPG、FINS、HOMA-IR水平呈正相关(P<0.05),而ADP与FPG、FINS、HOMA-IR水平呈负相关(P<0.05)。GA、ADP、RBP4、Hcy联合诊断GDM的ROC曲线下面积(AUC)为0.902,大于单一指标,灵敏度、特异度分别为87.2%、88.6%,均高于单一指标。结论血清GA、ADP、RBP4、Hcy水平异常与GDM患者胰岛素抵抗有密切的关系,通过检测血清GA、ADP、RBP4、Hcy水平能快速、有效地对GDM作出诊断,联合多指标检测可提高诊断灵敏度和特异度。 展开更多
关键词 糖化白蛋白 脂联素 视黄醇结合蛋白4 同型半胱氨酸 妊娠糖尿病 胰岛素抵抗
下载PDF
GA/HbA1c比值与2型糖尿病患者颈动脉粥样硬化斑块相关性 被引量:4
10
作者 曹旭 吴冀川 +6 位作者 李蓬秋 张学军 鲜杨 包明晶 杨艳 邓君 房俊 《实用医学杂志》 CAS 北大核心 2015年第18期2969-2971,共3页
目的:评价GA/Hb A1c比值与2型糖尿病颈动脉粥样硬化斑块相关性。方法:选取四川省人民医院内分泌科住院的2型糖尿病患者,收集临床数据进行分析。结果:纳入154例患者,相关分析显示GA/Hb A1c比值与体质指数、血尿酸呈负相关;与年龄、同型... 目的:评价GA/Hb A1c比值与2型糖尿病颈动脉粥样硬化斑块相关性。方法:选取四川省人民医院内分泌科住院的2型糖尿病患者,收集临床数据进行分析。结果:纳入154例患者,相关分析显示GA/Hb A1c比值与体质指数、血尿酸呈负相关;与年龄、同型半胱氨酸、空腹血糖、餐后血糖、左和右侧颈动脉中层厚度呈正相关。其中颈动脉斑块阳性组与阴性组相比,GA、GA/Hb A1c比值及同型半胱氨酸水平前者显著高于后者。Logistic回归分析显示GA/Hb A1c比值是影响2型糖尿病患者发生颈动脉粥样硬化斑块的独立危险因素(P=0.008)。结论:GA/Hb A1c比值与2型糖尿病患者颈动脉中层厚度呈正相关。这提示GA/Hb A1c比值能作为预测糖尿病患者心血管并发症的潜在临床指标。 展开更多
关键词 糖尿病 2型 颈动脉中层厚度 糖化血清白蛋白 ga/Hb A1c比值
下载PDF
足月分娩妊娠期糖尿病母亲新生儿脐血糖化血红蛋白 糖化白蛋白和胰岛素样生长因子-1水平变化及意义
11
作者 李锐 李波 +1 位作者 罗会涛 鲁巧珍 《山西医药杂志》 CAS 2024年第7期509-513,共5页
目的 分析足月分娩妊娠期糖尿病(GDM)母亲新生儿脐血糖化血红蛋白(HbA1c)、糖化白蛋白(GA)和胰岛素样生长因子-1(IGF-1)水平与新生儿不良妊娠结局的相关性。方法 选取2019年2月至2022年2月收治的220例足月分娩GDM母亲新生儿为观察对象,... 目的 分析足月分娩妊娠期糖尿病(GDM)母亲新生儿脐血糖化血红蛋白(HbA1c)、糖化白蛋白(GA)和胰岛素样生长因子-1(IGF-1)水平与新生儿不良妊娠结局的相关性。方法 选取2019年2月至2022年2月收治的220例足月分娩GDM母亲新生儿为观察对象,根据妊娠结局分为妊娠结局良好组159例、妊娠结局不良组61例。比较妊娠结局良好组和妊娠结局不良组的临床资料,检测妊娠结局良好组和妊娠结局不良组新生儿的脐血HbA1c、GA、IGF-1水平,采用Spearman相关分析法分析脐血HbA1c、GA和IGF-1水平与新生儿不良妊娠结局的关系,采用受试者工作曲线(ROC)分析脐血HbA1c、GA和IGF-1水平预测新生儿不良妊娠结局的价值。结果 妊娠结局不良组母亲空腹血糖[(6.68±0.61)mmol/L]、母亲口服葡萄糖耐量试验(OGTT)后1 h血糖[(12.54±1.12)mmol/L]、2 h血糖[(10.35±0.91)mmol/L]均高于妊娠结局良好组[(5.43±0.26)mmol/L、(11.38±1.03)mmol/L、(9.26±0.64)mmol/L](t=21.330、7.297、9.991,均P<0.05)。妊娠结局不良组新生儿的脐血HbA1c[(7.07±0.56)%]、GA[(18.19±0.76)%]和IGF-1[(77.56±7.37)ng/ml]水平均高于妊娠结局良好组(5.25±0.32)%、(12.27±0.52)%、(59.13±5.04)ng/ml (t=30.161、65.977、21.187,均P<0.05)。脐血HbA1c、GA和IGF-1水平与新生儿低血糖、新生儿窒息、胎儿窘迫、羊水过多、巨大儿呈正相关(均P<0.05)。受试者工作特征(ROC)曲线分析结果显示,HbA1c、GA、IGF-1单独预测新生儿不良妊娠结局的曲线下面积(AUC)分别为0.832、0.806、0.812,对新生儿不良妊娠结局均有一定预测价值(均P<0.05),且以3项联合检测(AUC=0.935)的预测价值优于单一指标(P<0.05)。结论 足月分娩GDM母亲新生儿脐血HbA1c、GA、IGF-1水平与新生儿不良妊娠结局存在相关性,其水平升高时更易出现新生儿不良妊娠结局,检测脐血HbA1c、GA、IGF-1水平对预测新生儿不良妊娠结局具有一定的价值。 展开更多
关键词 足月分娩 糖尿病 妊娠 糖基化血红蛋白A 白蛋白类 妊娠结局
下载PDF
GA/HbA1c比值与2型糖尿病合并非酒精性脂肪肝相关 被引量:7
12
作者 卢亚男 刘丽俊 李伟 《基础医学与临床》 CSCD 2020年第12期1636-1639,共4页
目的探讨2型糖尿病(T2DM)合并非酒精性脂肪肝(NAFLD)患者糖化白蛋白(GA)、糖化血红蛋白(HbA1c)、GA/HbA1c比值水平与NAFLD之间的关系。方法选自2017年2至12月住院的2型糖尿病患者,共502例,依据有无NAFLD分为单纯2型糖尿病组281例和2型... 目的探讨2型糖尿病(T2DM)合并非酒精性脂肪肝(NAFLD)患者糖化白蛋白(GA)、糖化血红蛋白(HbA1c)、GA/HbA1c比值水平与NAFLD之间的关系。方法选自2017年2至12月住院的2型糖尿病患者,共502例,依据有无NAFLD分为单纯2型糖尿病组281例和2型糖尿病合并NAFLD组221例。两组间相关生化指标、GA、HbA1c以及GA/HbA1c比较采用t检验及秩和检验,并进行GA/HbA1c与指标间相关性分析,以及2型糖尿病合并NAFLD影响因素回归分析。结果在T2DM合并NAFLD组GA/HbA1c高于单纯T2DM组(P<0.05),GA/HbA1c与GA、CRP、FPG呈正相关(P<0.05),与空腹C肽呈负相关(P<0.05)。Logistic回归分析发现GA、GA/HbA1c是T2DM合并NAFLD发生危险因素(P<0.05)。ROC曲线:GA/HbA1c曲线下面积为0.745,GA曲线下面积为0.660。结论GA/HbA1c是T2DM合并NAFLD的独立危险因素。 展开更多
关键词 2型糖尿病 非酒精性脂肪肝 糖化白蛋白 糖化血红蛋白
下载PDF
多指标单独及联合检测对早期糖尿病肾病的诊断价值 被引量:1
13
作者 王淑玲 郭腾捷 《医疗装备》 2024年第2期11-14,共4页
目的探讨糖化白蛋白(GA)、糖化血红蛋白(GHb,结果以HbA1c表示)、胱抑素及尿五蛋白[转铁蛋白(TRF)、α1微球蛋白(α_(1)-MG)、免疫球蛋白G(IgG)、β_(2)-微球蛋白(β_(2)-MG)、微量白蛋白(mAlb)]单独及联合检测对早期糖尿病肾病的诊断价... 目的探讨糖化白蛋白(GA)、糖化血红蛋白(GHb,结果以HbA1c表示)、胱抑素及尿五蛋白[转铁蛋白(TRF)、α1微球蛋白(α_(1)-MG)、免疫球蛋白G(IgG)、β_(2)-微球蛋白(β_(2)-MG)、微量白蛋白(mAlb)]单独及联合检测对早期糖尿病肾病的诊断价值。方法选取2020年9月至2022年9月医院收治的120例2型糖尿病患者作为研究对象,根据是否合并早期糖尿病肾病分为早期糖尿病肾病组(41例)和单纯糖尿病组(79例)。比较两组GA、HbA1c、胱抑素及尿五蛋白水平,分析以上指标与早期糖尿病肾病的相关性,并绘制ROC曲线分析以上指标单独及联合检测对早期糖尿病肾病的诊断价值。结果早期糖尿病肾病组的GA、HbA1c、胱抑素及尿五蛋白水平均高于单纯糖尿病组,差异有统计学意义(P<0.05);Pearson相关性分析结果显示,GA、HbA1c、胱抑素及尿五蛋白水平与早期糖尿病肾病呈正相关(P<0.05);ROC分析结果显示,GA、HbA1c、胱抑素及尿五蛋白水平诊断早期糖尿病肾病的曲线下面积(AUC)分别为0.860、0.790、0.745、0.932、0.868、0.747、0.858、0.885,而联合检测的AUC为0.994。结论GA、HbA1c、胱抑素及尿五蛋白均对早期糖尿病肾病有一定的诊断价值,且联合检测的诊断准确性高于各指标单独检测。 展开更多
关键词 早期糖尿病肾病 糖化白蛋白 糖化血红蛋白 胱抑素 尿五蛋白
下载PDF
基于SVM和GA的药物与人血清白蛋白结合的预测 被引量:8
14
作者 白茹 滕奇志 +2 位作者 杨晓敏 杨胜勇 向明礼 《计算机工程与应用》 CSCD 北大核心 2009年第12期226-228,248,共4页
为降低新药在临床实验的失败率,提高新药的ADME特性,在制药初期需考虑预测药物与HSA(人血清白蛋白)的结合能力,以提高预测正确率为目标并因此选取合适的制药成分。首先采用遗传算法对分子描述符进行筛选,然后利用支持向量机(SVM)模型预... 为降低新药在临床实验的失败率,提高新药的ADME特性,在制药初期需考虑预测药物与HSA(人血清白蛋白)的结合能力,以提高预测正确率为目标并因此选取合适的制药成分。首先采用遗传算法对分子描述符进行筛选,然后利用支持向量机(SVM)模型预测药物与HSA的结合能力。针对支持向量机的分类精度和泛化能力取决于核函数参数选取的特点,提出了基于粒子群优化算法(PSO)的SVM核参数优化选择法。通过PSO自动获取SVM最佳核参数,并将结果同双线性网格搜索法比较,结果表明,建立的模型对药物与HSA之间的结合能力有较高的预测性,正确率达到86%。 展开更多
关键词 支持向量机(SVM) 人血清白蛋白(HSA) 遗传算法(ga) 粒子群优化算法(PSO) 双线性网格搜索法(BGSM)
下载PDF
2型糖尿病血液透析患者GA/HbAlc与营养状况的相关性
15
作者 张希尧 崔璨 王晶 《临床肾脏病杂志》 2013年第1期10-12,共3页
目的探讨2型糖尿病血液透析患者糖化白蛋白(GA)与糖化血红蛋白(HbAlc)的比率和营养状况指标间是否存在相关性。方法选择2型糖尿病血液透析患者20例,根据患者GA/HbAlc值(3.35)分为低G_A/HbAlc值组(A组,〈3.35),高GA/HbAl... 目的探讨2型糖尿病血液透析患者糖化白蛋白(GA)与糖化血红蛋白(HbAlc)的比率和营养状况指标间是否存在相关性。方法选择2型糖尿病血液透析患者20例,根据患者GA/HbAlc值(3.35)分为低G_A/HbAlc值组(A组,〈3.35),高GA/HbAlc值组(B组,2〉3.35),测定与营养状况相关的指标:时间平均尿素浓度(TACurea)、整体尿素清除指数(Kt/V)、蛋白质分解代谢率(PCR)、血清铁、转铁蛋白饱和度(TS)、铁蛋白(sF)、总蛋白(TP)、白蛋白(Alb)、总胆固醇(TC)、甘油三酯(TG)、血红蛋白(Hb)、血细胞比容(Hct)、血钙、血磷、碱性磷酸酶(ALP)、GA和HbAlc,分析GA/HbAlc值与上述指标的相关性。结果B组体质量指数(BMI)、PCR及血磷明显低于A组(P〈0.05)。此外,在所有患者中GA/HbAlc值与BMI、PCR及血磷呈负相关(r=一0.713、一0.576、一0.597,P%0.05)。结论本研究表明GA/HbAlc值营养状况指标关系密切,可能作为2型糖尿病血液透析患者营养状况评价的指标。 展开更多
关键词 糖尿病 2型 糖化白蛋白 血红蛋白A 糖基化 营养状况
下载PDF
妊娠期糖尿病孕妇血糖指标变化与意义
16
作者 罗瑶 吴陈华 《糖尿病新世界》 2024年第7期47-49,53,共4页
目的研究妊娠期糖尿病孕妇空腹血糖(Fasting Blood Glucose,FBG)、餐后2小时血糖(2-hour Postpran-dial Blood Glucose,2 hPG)、糖化血清白蛋白(Glycated Albumin,GA)、糖化血红蛋白(Glycated Hemoglobin A1c,HbA1c)水平变化。方法选取2... 目的研究妊娠期糖尿病孕妇空腹血糖(Fasting Blood Glucose,FBG)、餐后2小时血糖(2-hour Postpran-dial Blood Glucose,2 hPG)、糖化血清白蛋白(Glycated Albumin,GA)、糖化血红蛋白(Glycated Hemoglobin A1c,HbA1c)水平变化。方法选取2021年1月—2022年12月宁德师范学院附属宁德市医院诊治的180例妊娠期糖尿病孕妇,与同期200例健康孕妇作对比。所有研究对象均进行生化实验室检测。比较两组孕妇血糖值、生化实验室指标、不同指标单独及联合检测准确度等数据。结果妊娠期糖尿病孕妇各指标水平均高于健康孕妇,差异有统计学意义(P均<0.05);联合检测准确度等水平高于其他单独检测方式,差异有统计学意义(P均<0.05)。结论妊娠期糖尿病孕妇FBG、2 hPG、GA、HbA1c等指标水平和正常健康孕妇存在差异,通过联合检测具有更高的准确性,能够为产妇诊断提供丰富的参考依据,建议在孕妇妊娠期间积极检测,评估干预孕妇健康。 展开更多
关键词 妊娠期 糖尿病 孕妇 空腹血糖 餐后2小时血糖 糖化血清白蛋白 糖化血红蛋白
下载PDF
GA/HbA1c比值与2型糖尿病周围神经病变相关性研究 被引量:10
17
作者 王艳华 李成 鄢碧珠 《中国实用神经疾病杂志》 2020年第10期829-832,共4页
目的研究2型糖尿病患者血GA/HbA1c比值与糖尿病周围神经病变的相关性。方法选取2018-12-2019-11在福建中医药大学附属人民医院住院的糖尿病患者681例。随机分为2型糖尿病不伴周围神经病变(NDPN)组366例,2型糖尿病周围神经病变(DPN)组31... 目的研究2型糖尿病患者血GA/HbA1c比值与糖尿病周围神经病变的相关性。方法选取2018-12-2019-11在福建中医药大学附属人民医院住院的糖尿病患者681例。随机分为2型糖尿病不伴周围神经病变(NDPN)组366例,2型糖尿病周围神经病变(DPN)组315例。结果NDPN组与DPN组年龄、病程、BMI、HbA1c、GA、GA/HbA1c、TG比较差异有统计学意义(P<0.05)。DPN组患者合并心血管病、糖尿病肾病及糖尿病视网膜病变的比例明显高于NDPN组,差异有统计学意义(P<0.05)。Logistic回归分析显示,病程、GA/HbA1c、合并糖尿病肾病及糖尿病视网膜病变是DPN独立危险因素。ROC曲线显示,HbA1c曲线下面积(AUC)为0.601,Cut-off值为8.05%(敏感性65.2%,特异性51.8%);GA曲线下面积(AUC)为0.706,Cut-off值为24%(敏感性70.6%,特异性62%);GA/HbA1c曲线下面积(AUC)为0.763,Cut-off值为2.82(敏感性81.6%,特异性65.1%)。结论GA/HbA1c可能是预测糖尿病周围神经病变良好指标。 展开更多
关键词 糖尿病周围神经病变 ga/HbA1c比值 2型糖尿病 糖化白蛋白 糖化血红蛋白
下载PDF
Advanced glycation end products induce neural tube defects through elevating oxidative stress in mice 被引量:6
18
作者 Ru-Lin Li Wei-Wei Zhao Bing-Yan Gao 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第8期1368-1374,共7页
Our previous study showed an association between advanced glycation end products (AGEs) and neural tube defects (NTDs). To understand the molecular mechanisms underlying the effect of AGEs on neural tube developme... Our previous study showed an association between advanced glycation end products (AGEs) and neural tube defects (NTDs). To understand the molecular mechanisms underlying the effect of AGEs on neural tube development, C57BL/6 female mice were fed for 4 weeks with com- mercial food containing 3% advanced glycation end product bovine serum albumin (AGE-BSA) or 3% bovine serum albumin (BSA) as a control. After mating mice, oxidative stress markers including malondialdehyde and H202 were measured at embryonic day 7.5 (E7.5) of ges- tation, and the level of intracellular reactive oxygen species (ROS) in embryonic cells was determined at E8.5. In addition to evaluating NTDs, an enzyme-linked immunosorbent assay was used to determine the effect of embryonic protein administration on the N-(carboxymethyl) lysine reactivity of acid and carboxyethyl lysine antibodies at E10.5. The results showed a remarkable increase in the incidence of NTDs at El0.5 in embryos of mice fed with AGE-BSA (no hyperglycemia) compared with control mice. Moreover, embryonic protein administration resulted in a noticeable increase in the reactivity of N-(carboxymethyl) lysine and N(ε)-(carboxyethyl) lysine antibodies. Malondialdehyde and H2O2 levels in embryonic cells were increased at E7.5, followed by increased intracellular ROS levels at E8.5. Vitamin E supplementation could partially recover these phenomena. Collectively, these results suggest that AGE-BSA could induce NTDs in the absence of hyperglycemia by an underlying mechanism that is at least partially associated with its capacity to increase embryonic oxidative stress levels. 展开更多
关键词 nerve regeneration neural tube defects advanced glycation end products diabetic embryopathy oxidative stress N-(carboxymethyl)lysine malondiadehyde N(ε)-(carboxyethyl) lysine EMBRYO H2O2 bovine serum albumin neural regeneration
下载PDF
急性冠脉综合征患者血中GA MCP-1和超敏C-反应蛋白水平的变化
19
作者 张丽 沈成兴 +1 位作者 冯毅 马根山 《中国急救医学》 CAS CSCD 北大核心 2010年第11期994-997,共4页
目的 探讨急性冠脉综合征(acute coronary syndrome, ACS)患者外周血糖化白蛋白(glycated albumin, GA)、单核/巨噬细胞趋化蛋白1(monocyte chemoattractant protein-1, MCP-1)和超敏C-反应蛋白(high-sensitivity C reactive pro... 目的 探讨急性冠脉综合征(acute coronary syndrome, ACS)患者外周血糖化白蛋白(glycated albumin, GA)、单核/巨噬细胞趋化蛋白1(monocyte chemoattractant protein-1, MCP-1)和超敏C-反应蛋白(high-sensitivity C reactive protein, hs-CRP)水平的变化.方法 使用硝基四氮唑兰(NBT)显色法和酶联免疫吸附法分别测定96例急性冠脉综合征患者(急性冠脉综合征组,ACS组),67例稳定型心绞痛患者(稳定型心绞痛组,SAP组)及53例胸痛、胸闷等症状予以冠脉造影正常的患者(对照组)血中GA、MCP-1和hs-CRP水平的变化.结果 外周血GA、MCP-1和hs-CRP水平在ACS患者明显高于SAP及对照组(P〈0.01).ACS组外周血GA和MCP-1水平呈明显相关性(r=0.501,P〈0.01).结论 ACS患者的GA、MCP-1和hs-CRP水平明显升高,GA是ACS预测的一个重要指标. 展开更多
关键词 急性冠脉综合征(ACS) 糖化白蛋白(ga) 单核/巨噬细胞趋化蛋白1(MCP-1) 超敏C-反应蛋白(hs-CRP)
下载PDF
Adsorption of Human Serum Albumin onto PVA-coated Affinity Microporous PTFE Capillary 被引量:1
20
作者 JIN Gu YAO Qi-zhi ZHANG Lei 《Chemical Research in Chinese Universities》 SCIE CAS CSCD 2008年第2期154-161,共8页
Affinity dye-ligand Cibacron Blue F3GA(CB F3GA) was covalently coupled with poly(vinyl alcohol)(PVA) coated on the inner surface of microporous poly(tetra-fluoroethylene)(MPTFE) membranous capillary. The PVA... Affinity dye-ligand Cibacron Blue F3GA(CB F3GA) was covalently coupled with poly(vinyl alcohol)(PVA) coated on the inner surface of microporous poly(tetra-fluoroethylene)(MPTFE) membranous capillary. The PVA-coated PTFE capillary surface was characterized by XPS and FESEM. The grafting degree of PVA and the amount of CB F3GA immobilized onto the membranous capillary were 23.5 mg/g and 89.6 pmol/g, respectively. These dyed membranous capillaries were chemically and mechanically stable, and could be reproducibly prepared. Human serum albumin(HSA) was selected as model protein. The saturation adsorbance of the dye attached membranous capillary was 85.3 mg HSA/g, while the capacity of non-specific adsorption for HSA was less than 0.3 mg/g. 展开更多
关键词 albumin adsorption Cibacron blue F3ga PVA PTFE Plasma
下载PDF
上一页 1 2 17 下一页 到第
使用帮助 返回顶部