2型糖尿病肾病患者血清同型半胱氨酸、脂蛋白(α)和胱抑素C测定结果分析  被引量:8

Clinical value of serum homocysteine,lipoprotein(α) and cystatin C in type 2 diabetic nephropathy

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作  者:胡伟[1] 胡孝彬[1] 陈江[1] 郭渝[1] 

机构地区:[1]宜宾市第二人民医院检验科,四川宜宾644000

出  处:《海南医学》2014年第20期3009-3011,共3页Hainan Medical Journal

基  金:国家高技术研究发展计划(863计划)项目(编号:2011AA02A111)

摘  要:目的探讨血清同型半胱氨酸(Hcy)、脂蛋白(α)[Lp(α)]和胱抑素C(Cys-C)水平变化在2型糖尿病肾病(Type 2 diabetic nephropath,T2DN)诊断中的临床应用价值。方法在日立7600-020全自动生化分析仪上测定106例T2DN患者(实验组)和92例健康者(对照组)的血清Hcy、Lp(α)、Cys-C和糖化血红蛋白(HbA1c),并对测定结果进行比较分析。结果实验组患者的Hcy、Lp(α)、Cys-C和HbA1c水平显著高于对照组(P<0.05);早期糖尿病肾病组和中晚期糖尿病肾病组Hcy、Lp(α)、Cys-C和HbA1c水平均高于单纯糖尿病组(P<0.05);中晚期糖尿病肾病组Hcy、Lp(α)、Cys-C和HbA1c水平高于早期糖尿病肾病组(P<0.05)。结论血清Hcy、Lp(α)和Cys-C可作为T2DN早期肾损伤较为理想的评价指标,能为T2DN早期诊断、病情监测和疾病预后等方面提供有价值的实验依据。Objective To study the diagnostic value of serum homocysteine (Hcy), lipoprotein (α) [Lp (α)] and Cystatin C (Cys-C) testing in type 2 diabetic nephropathy (T2DN). Methods The serum levels of Hcy, Lp(α), Cys-C and glycosylated hemoglobin (HbA1c) in 106 cases of T2DN (experimental group) and 92 healthy subjects (con-trol group) were determined by 7600-020 automatic biochemical analyzer and the results were compared. Results In the experimental group, the levels of Hcy, Lp(α), Cys-C and HbA1c were significantly higher than those in the control group (P〈0.05);the levels of Hcy, Lp(α), Cys-C and HbA1c in early or advanced diabetic nephropathy group were sig-nificantly higher than those in simple diabetic group (P〈0.05);and the levels of Hcy, Lp(α), Cys-C and HbA1c in ad-vanced diabetic nephropathy group were significantly higher than those in the early diabetic nephropathy group (P&lt;0.05). Conclusion The serum Hcy, Lp(α) and Cys-C can be regarded as optimal indexes to evaluate early renal inju-ry in T2DN, which can provide experimental data for monitoring and its prognosis.

关 键 词:2型糖尿病肾病 同型半胱氨酸 脂蛋白(Α) 胱抑素C 

分 类 号:R587.2[医药卫生—内分泌]

 

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