ACR在糖尿病肾病诊断中的价值
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摘要
目的分析尿微量白蛋白与尿肌酐比值(ACR)在糖尿病肾病诊断中的价值。方法选取2016年1月-2017年12月我院收治80例确诊为糖尿病肾病患者(研究组,n=80),并选择80名健康体检人员(对照组,n=80)作为研究对象,对以上两组研究对象进行尿微量白蛋白(MALB)、尿肌酐(SCR)以及尿微量白蛋白与尿肌酐比值(ACR)测定,并采用统计学分析两组差异。结果研究组患者MALB、SCR及ACR明显高于对照组,差异具有统计学意义(P<0.05)。结论 ACR检测在诊断早期糖尿病肾病中具有重要意义,能够指导患者进行治疗方案的选择并评估预后。
Objective To analyze the value of urine microalbumin and urinary creatinine ratio(ACR) in the diagnosis of diabetic nephropathy. Methods From Janyary 2016 to December 2017, 80 patients diagnosed as diabetic nephropathy(study group, n=80) were enrolled in our hospital as study subjects, and 80 healthy physical examination personnel(control group, n=80) were selected as the study subjects. In the control group, urinary microalbumin(MALB),urinary creatinine(SCR), and urine microalbumin and urinary creatinine ratio(ACR) were measured in the above two groups of subjects, and statistical analysis was used to analyze the differences between the two groups. Results The patients in the study group had signi?cantly higher levels of MALB, SCR, and ACR than the control group. The difference was statistically signi?cant(P<0.05). Conclusion ACR testing is of great signi?cance in diagnosing early diabetic nephropathy and can guide patients to choose treatment options and evaluate prognosis.
Objective To analyze the value of urine microalbumin and urinary creatinine ratio(ACR) in the diagnosis of diabetic nephropathy. Methods From Janyary 2016 to December 2017, 80 patients diagnosed as diabetic nephropathy(study group, n=80) were enrolled in our hospital as study subjects, and 80 healthy physical examination personnel(control group, n=80) were selected as the study subjects. In the control group, urinary microalbumin(MALB),urinary creatinine(SCR), and urine microalbumin and urinary creatinine ratio(ACR) were measured in the above two groups of subjects, and statistical analysis was used to analyze the differences between the two groups. Results The patients in the study group had signi?cantly higher levels of MALB, SCR, and ACR than the control group. The difference was statistically signi?cant(P<0.05). Conclusion ACR testing is of great signi?cance in diagnosing early diabetic nephropathy and can guide patients to choose treatment options and evaluate prognosis.
引文
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[6]朱炳铭,吴勇,余权,等.血清miR-21联合尿微量白蛋白、尿微量白蛋白与尿肌酐比值诊断糖尿病肾病的价值[J].暨南大学学报(自然科学与医学版),2016,37(4):318-323.
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[9]刘丽.2,350例糖尿病患者尿蛋白和尿微量白蛋白/肌酐比值的结果分析[J].中外医学研究,2013,11(29):61-62.
[10]Oke J,Farmer A,Neil A,et al.Monitoring young people with type 1 diabetes for diabetic nephropathy:Potential errors of annual ACR testing[J].Diabetes Res Clin Prac,2013,99(3):421.
[11]秦松竹,杨玉芝,冯琨,等.肾小球滤过率联合尿微量白蛋白与肌酐比值诊断糖尿病肾病的临床意义[J].黑龙江医药科学,2015,38(2):93-95.
[2]常静秋.血清胱抑素C联合尿微量白蛋白/肌酐比值在糖尿病肾病早期诊断中的应用[J].中国现代药物应用,2015,9(20):9-10.
[3]朱海兵.尿微量白蛋白、胱抑素C、β2微球蛋白和尿微量白蛋白/肌酐比值检测在2型糖尿病早期肾损害诊断的临床意义[J].实验与检验医学,2016,34(1):84-86.
[4]杜爱国.尿微量白蛋白/肌酐在糖尿病肾病早期诊断中的临床价值[J].中国社区医师,2016,32(2):122-124.
[5]高珊,张艳,李辉.血清直接胆红素与2型糖尿病肾病的相关性分析[J].河北医药,2016,38(5):669-671.
[6]朱炳铭,吴勇,余权,等.血清miR-21联合尿微量白蛋白、尿微量白蛋白与尿肌酐比值诊断糖尿病肾病的价值[J].暨南大学学报(自然科学与医学版),2016,37(4):318-323.
[7]王岩.尿微量白蛋白/肌酐比值、胱抑素C联合检测在糖尿病肾病早期诊断中的价值探讨[J].中国卫生标准管理,2014,5(12):88-90.
[8]王明鹤.晨尿与随机尿微量白蛋白尿肌酐比值检查对早期糖尿病肾病患者的临床意义[J].求医问药(下半月),2011,9(11):334-335.
[9]刘丽.2,350例糖尿病患者尿蛋白和尿微量白蛋白/肌酐比值的结果分析[J].中外医学研究,2013,11(29):61-62.
[10]Oke J,Farmer A,Neil A,et al.Monitoring young people with type 1 diabetes for diabetic nephropathy:Potential errors of annual ACR testing[J].Diabetes Res Clin Prac,2013,99(3):421.
[11]秦松竹,杨玉芝,冯琨,等.肾小球滤过率联合尿微量白蛋白与肌酐比值诊断糖尿病肾病的临床意义[J].黑龙江医药科学,2015,38(2):93-95.