Objective To evaluate the value of renal parenchymal volume and thickness by non-contrast spiral CT in evaluating the differential glomerular filtration rate ( GFR) for chronic obstructed kidneys,and to compare the co...Objective To evaluate the value of renal parenchymal volume and thickness by non-contrast spiral CT in evaluating the differential glomerular filtration rate ( GFR) for chronic obstructed kidneys,and to compare the correlations between two morphologic indices of renal parenchyma and GFR for chronic obstructed kidneys.展开更多
<strong>Introduction:</strong> Morbidity and mortality in paediatric practice is dominated in Africa by malaria, diarrhoeal diseases and acute respiratory infections. <strong>Aim:</strong> In o...<strong>Introduction:</strong> Morbidity and mortality in paediatric practice is dominated in Africa by malaria, diarrhoeal diseases and acute respiratory infections. <strong>Aim:</strong> In order to evaluate the Glomerular Filtration Rate (GFR) with the formulas commonly used by medical laboratories, we proposed to undertake this study. <strong>Patients and Method:</strong> This was a descriptive, prospective and cross-sectional study conducted at the PA and KA medical biology laboratory in Bamako Hamdalaye ACI 2000 in collaboration with the medical biology and hospital hygiene laboratory service at the Point G University Hospital. <strong>Results:</strong> During the study period, we recruited 360 subjects, 189 of whom were male (52.5%) and 171 female (47.5%). The mean age was 8.75 ± 4.8 years with extremes of 1 and 17 years. Subjects aged 15 to 17 years were the most numerous. The reference means GFR of the subjects according to age was with the SCHWARTZ formula 179.16 ± 50.47 with extremes of 173.93 and 184.39;with CKD-Epi 37.63 ± 11.25 with extremes of 36.46 and 38.79;with MAYO 107.87 ± 18.11 with extremes of 105.99 and 109.75 and MDRD 350.83 ± 251.15 with extremes of 324.79 and 376.86. <strong>Conclusion:</strong> The Mayo formula showed a better distribution around the mean than other formulas for estimating the glomerular filtration rate.展开更多
Objective: To study the predictive value of serum electrolyte combined with glomerular filtration rate (GFR) evaluation equation for prognosis of severe obstructive renal injury. Methods: A total of 69 patients with c...Objective: To study the predictive value of serum electrolyte combined with glomerular filtration rate (GFR) evaluation equation for prognosis of severe obstructive renal injury. Methods: A total of 69 patients with calculous obstructive renal impairment admitted to our hospital from May 2017 to December 2018 were selected as the research objects. Clinical data of the patients were collected, and according to the status of renal function impairment, they were divided into 37 cases of mild to moderate, 32 cases of severe, and 40 cases of health examination in the same period as the control group. The fasting serum of the subjects was separated in the morning, and the serum electrolytes and related indicators were detected by Olympus AV640 automatic biochemical analyzer, Scr-CysC GFR evaluation equation was used to calculate the GFR score of all subjects, the levels of serum sodium, potassium and GFR scores in patients with severe obstructive renal injury with different prognostic outcomes were analyzed, subject operating characteristic curve (ROC) of prognostic indicators in patients with severe obstructive renal impairment was drawn, and the prognostic values of serum Na+, K+, GFR score and their combination in patients with severe obstructive renal damage were analyzed. Results: Compared with the control group, the levels of UmAb, CysC, Scr, BUN, TC, serum sodium and potassium in mild to moderate group and severe group increased in turn, and the GFR score decreased in turn (P < 0.05). The serum sodium and potassium concentrations increased in turn and the GFR score decreased in turn at 1 month after operation (P < 0.05). Compared with the 1 day before operation, the serum sodium and potassium concentrations in mild group and severe group decreased and the GFR score increased 1 month after operation (P < 0.05). Compared with the good prognosis group, the serum sodium and potassium levels in patients with severe obstructive renal damage in the poor prognosis group increased significantly, and the GFR score decreased significantly (P<0.05). The results of ROC showed that the combined detection of Na + concentration, K+ concentration and GFR score had an AUC of 0.936 for predicting the prognosis and outcomes of patients with severe renal injury, which was significantly higher than that of the single detection (AUC of 0.796, 0.815 and 0.810, respectively). Conclusion: The serum sodium and potassium levels in patients with severe obstructive renal impairment are increased, and the GFR score is decreased. The combined detection of the three factors has certain reference value in predicting the poor prognosis of patients with severe obstructive renal impairment.展开更多
文摘Objective To evaluate the value of renal parenchymal volume and thickness by non-contrast spiral CT in evaluating the differential glomerular filtration rate ( GFR) for chronic obstructed kidneys,and to compare the correlations between two morphologic indices of renal parenchyma and GFR for chronic obstructed kidneys.
文摘<strong>Introduction:</strong> Morbidity and mortality in paediatric practice is dominated in Africa by malaria, diarrhoeal diseases and acute respiratory infections. <strong>Aim:</strong> In order to evaluate the Glomerular Filtration Rate (GFR) with the formulas commonly used by medical laboratories, we proposed to undertake this study. <strong>Patients and Method:</strong> This was a descriptive, prospective and cross-sectional study conducted at the PA and KA medical biology laboratory in Bamako Hamdalaye ACI 2000 in collaboration with the medical biology and hospital hygiene laboratory service at the Point G University Hospital. <strong>Results:</strong> During the study period, we recruited 360 subjects, 189 of whom were male (52.5%) and 171 female (47.5%). The mean age was 8.75 ± 4.8 years with extremes of 1 and 17 years. Subjects aged 15 to 17 years were the most numerous. The reference means GFR of the subjects according to age was with the SCHWARTZ formula 179.16 ± 50.47 with extremes of 173.93 and 184.39;with CKD-Epi 37.63 ± 11.25 with extremes of 36.46 and 38.79;with MAYO 107.87 ± 18.11 with extremes of 105.99 and 109.75 and MDRD 350.83 ± 251.15 with extremes of 324.79 and 376.86. <strong>Conclusion:</strong> The Mayo formula showed a better distribution around the mean than other formulas for estimating the glomerular filtration rate.
基金supported by Shaanxi Natural Science Basic Research Project(2012018JM7154).
文摘Objective: To study the predictive value of serum electrolyte combined with glomerular filtration rate (GFR) evaluation equation for prognosis of severe obstructive renal injury. Methods: A total of 69 patients with calculous obstructive renal impairment admitted to our hospital from May 2017 to December 2018 were selected as the research objects. Clinical data of the patients were collected, and according to the status of renal function impairment, they were divided into 37 cases of mild to moderate, 32 cases of severe, and 40 cases of health examination in the same period as the control group. The fasting serum of the subjects was separated in the morning, and the serum electrolytes and related indicators were detected by Olympus AV640 automatic biochemical analyzer, Scr-CysC GFR evaluation equation was used to calculate the GFR score of all subjects, the levels of serum sodium, potassium and GFR scores in patients with severe obstructive renal injury with different prognostic outcomes were analyzed, subject operating characteristic curve (ROC) of prognostic indicators in patients with severe obstructive renal impairment was drawn, and the prognostic values of serum Na+, K+, GFR score and their combination in patients with severe obstructive renal damage were analyzed. Results: Compared with the control group, the levels of UmAb, CysC, Scr, BUN, TC, serum sodium and potassium in mild to moderate group and severe group increased in turn, and the GFR score decreased in turn (P < 0.05). The serum sodium and potassium concentrations increased in turn and the GFR score decreased in turn at 1 month after operation (P < 0.05). Compared with the 1 day before operation, the serum sodium and potassium concentrations in mild group and severe group decreased and the GFR score increased 1 month after operation (P < 0.05). Compared with the good prognosis group, the serum sodium and potassium levels in patients with severe obstructive renal damage in the poor prognosis group increased significantly, and the GFR score decreased significantly (P<0.05). The results of ROC showed that the combined detection of Na + concentration, K+ concentration and GFR score had an AUC of 0.936 for predicting the prognosis and outcomes of patients with severe renal injury, which was significantly higher than that of the single detection (AUC of 0.796, 0.815 and 0.810, respectively). Conclusion: The serum sodium and potassium levels in patients with severe obstructive renal impairment are increased, and the GFR score is decreased. The combined detection of the three factors has certain reference value in predicting the poor prognosis of patients with severe obstructive renal impairment.
