尿常规检验在糖尿病视网膜病变患者眼底荧光血管造影时的应用价值探讨  

Investigation on the application value of routine urine test in fundus fluorescence angiography in diabetic retinopathy patients

作　　者：邱婷婷[1] 董彦金[1] 潘宁 QIU Ting-ting;DONG Yan-jin;PAN Ning(Jinan Second People's Hospital,Jinan 250001,China)

机构地区：[1]济南市第二人民医院,250001

出　　处：《中国实用医药》2023年第20期78-80,共3页China Practical Medicine

摘　　要：目的探讨尿常规检验在糖尿病视网膜病变患者眼底荧光血管造影时的应用价值。方法150例糖尿病视网膜病变患者均实施眼底荧光血管造影,造影前1 d及造影后3 d,采集空腹静脉血后采用速率法测定血肌酐水平以评定造影剂肾病发生率;在非运动、非应激状态下采集晨尿后采用免疫透射比浊法评估尿微量白蛋白水平。结果150例患者中有10例发生造影剂肾病,造影剂肾病发生率为6.67%。150例患者造影后3 d的尿微量白蛋白水平(1.32±0.28)mg/L高于造影前1 d的(0.99±0.12)mg/L,差异具有统计学意义(P<0.05)。结论糖尿病视网膜病变患者眼底荧光血管造影时实施尿常规检验,可有效预测造影剂肾病,价值显著。Objective To discuss the application value of routine urine test in fundus fluorescence angiography in diabetic retinopathy patients.Methods Fluorescent fundus angiography was performed in 150 patients with diabetic retinopathy.Fasting venous blood was collected 1 d before angiography and 3 d after angiography,and the serum creatinine level was determined by rate method to evaluate the incidence of contrastinduced nephropathy;the morning urine was collected under non-exercise and non-stress conditions to evaluate the levels of urinary microalbumin by immunoturbidimetry.Results Contrast-induced nephropathy occurred in 10 of 150 patients,and the incidence of contrast-induced nephropathy was 6.67%.The urinary microalbumin of(1.32±0.28)mg/L at 3 d after angiography was higher than that of(0.99±0.12)mg/L at 1 d before angiography,and the difference was statistically significant(P<0.05).Conclusion Routine urine test in fundus fluorescence angiography of patients with diabetic retinopathy can effectively predict contrast-induced nephropathy,and has significant value.

关 键 词：尿常规检验 糖尿病视网膜病变 眼底荧光血管造影 造影剂肾病 

分 类 号：R587.2[医药卫生—内分泌] R774.1[医药卫生—内科学]