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早期糖尿病肾病患者联合检测mALB、β_2-MG、NAG的临床意义 被引量:8
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作者 何彩云 周少雄 +2 位作者 沈永坚 黄丽姗 陈冠群 《吉林医学》 CAS 2018年第5期816-818,共3页
目的:探讨尿微量白蛋白(mALB)、β_2微球蛋白(β_2-MG)、N-乙酰β_2-D-氨基葡萄糖苷酶(NAG)联合检测对早期糖尿病肾病(DN)的临床意义。方法:采用诊断金标准将236例疑似糖尿病患者确诊分为DN组117例及非DN组119例,所有研究对象检测尿mAL... 目的:探讨尿微量白蛋白(mALB)、β_2微球蛋白(β_2-MG)、N-乙酰β_2-D-氨基葡萄糖苷酶(NAG)联合检测对早期糖尿病肾病(DN)的临床意义。方法:采用诊断金标准将236例疑似糖尿病患者确诊分为DN组117例及非DN组119例,所有研究对象检测尿mALB、β_2-MG、NAG。结果:DN组的mALB、β_2-MG和NAG水平分别明显高于非DN组,且差异均有统计学意义(P<0.05)。mALB的灵敏度、特异度均高于β_2-MG、NAG,漏诊率、误诊率均低于β_2-MG、NAG。三项联合检测的灵敏度、特异度均高于三种单项检测,漏诊率、误诊率均低于三种单项检测。结论:采用尿mALB、β_2-MG、NAG联合检测,可及时反映患者肾脏受损情况,有利于糖尿病继发性肾功能损害的早期预防和治疗。 展开更多
关键词 尿微量白蛋白 Β2微球蛋白 NAG 早期糖尿病肾病 联合检测
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Twenty-Two-Year Observation on Urinary Cadmium and β_(2)-Microglobulin in Inhabitants after Cessation of Cadmium-Exposure in Japan
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作者 Reiko Sato Teruhiko Kido +4 位作者 Hideaki Nakagawa Muneko Nishijo Ryumon Honda Etsuko Kobayashi Yasushi Suwazono 《Open Journal of Nephrology》 2013年第4期205-210,共6页
Objective: This is an epidemiological survey that was conducted for 22 years to investigate the physical effects on inhabitants who had been exposed to cadmium (Cd) from processing of remnants discharged at the time o... Objective: This is an epidemiological survey that was conducted for 22 years to investigate the physical effects on inhabitants who had been exposed to cadmium (Cd) from processing of remnants discharged at the time of copper refinement. It was possible to obtain findings on physical effects 27 years after Cd exposure. Materials and Methods: Of the inhabitants who were 50 years old or younger in 1981 and who were living in the most contaminated area in the Kakehashi River basin, 68 (32 males and 36 females) who underwent all of the 5 screenings during the 22-year period were extracted as subjects. Early morning urine was collected for urinalysis, and Cd and ?2-MG concentrations were determined. Results: 27 years after cessation of Cd exposure, it was shown that urinary Cd concentrations were significantly decreased and urinary ?2-MG concentrations were significantly increased. Conclusion: Once exposed to Cd, it takes about 30 years for the Cd that remains in the body to decrease by half. Once renal tubular dysfunction occurs after Cd exposure, irreversible aggravation is inevitable. 展开更多
关键词 Twenty-Two-Year Observation urinary-Cadmium urinary-?2-Microglobulin Itai-Itai Disease Biological-Half-Life
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