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同型半胱氨酸在2型糖尿病肾病中的诊断价值 被引量:1

Diagnostic value of homocysteine in type 2 diabetic nephropathy
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摘要 目的:观察血浆同型半胱氨酸在糖尿病肾病中的诊断价值。方法:测定单纯糖尿病组,早期糖尿病肾病组和临床糖尿病肾病组各组尿蛋白排泄率(UAER)、血浆同型半胱氨酸(t-Hcy),以及其他危险因素资料。结果:早期糖尿病肾病组t-Hcy测定明显高于单纯糖尿病组,临床糖尿病肾病与早期糖尿病肾病比较,t-Hcy升高,差异均有统计学意义(P<0.05);t-Hcy测定与年龄、病程、HbA1C、LDL、BUN、Cr、UAER正相关。ROC曲线下面积分析,t-Hcy测定具有糖尿病肾病诊断价值。结论:t-Hcy是糖尿病肾病诊断的敏感指标。 Objective To observe the diagnostic value of plasma homocysteine in diabetic nephropathy. Method UAER and t- Hcy was measured in diabetic group,early diabetic nephropathy and clinical diabetic nephropathy group, as well as other risk factors informa- tion. Results The t - Hey of early diabetic nephropathy group was significantly higher than the diabetic group, the t - Hey of clinical diabet- ic nephropathy was significantly higher compared with the early diabetic nephropathy group. The t - Hcy level positively correlated with age, disease duration, HbA1 C, LDL, BUN, Cr and UAER. By the area under the ROC curve analysis, t- Hcy determination can be used for the diagnosis of diabetic nephropathy. Conclusion The t -Hcy is a sensitive indicator of the diagnosis of diabetic nephropathy.
出处 《吉林医学》 CAS 2013年第25期5102-5103,共2页 Jilin Medical Journal
关键词 血浆同型半胱氨酸 尿微量白蛋白排泄率 糖尿病肾病 Homocysteine Urinary albumin excretion rate Diabetic nephropathy
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参考文献4

  • 1Perkins BA,Krolewski AS.Early nephropathy in type1dia-betes:the importance of early renal function decline[J].Curr Opin Nephrol Hypertens,2009,18(3):233.
  • 2Rosolowsky ET,Niewczas MA,Ficociello LH,et al.Between hyperfiltration and impairment demystifying early renal functional changes in diabetic nephropathy[J].Diabetes Res Clin Pract,2008,13(82Supp11):S46.
  • 3Jermendy G,Ruggenenti P.Preventing microalbuminuria in patients with type2diabetes[J].Diabetes Metab Res Rev,2007,23(2):100.
  • 4Haapaniemi E,Helenius J,Soinne L,et al.Serial measure-ments of plasm homocysteine levels in early and later phases of is-chemic stroke[J].Eur J Neurol,2007,14(1):12.

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