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临床研究

血清胱抑素C、尿微量白蛋白、尿β2-MG检测在肝硬化患者中的应用价值

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  • 兰州军区乌鲁木齐总医院核医学科,新疆 乌鲁木齐 830000

收稿日期: 2014-06-20

  修回日期: 2014-11-11

  网络出版日期: 2014-12-26

Values of Detection of Serum Cystatin C, Urine Micro-albumin,Urine β2-Microglobin in Patients with Liver Cirrhosis

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  • Department of Nuclear Medicine, Urumqi General Hospital of Lanzhou Command, Urumqi 830000,China

Received date: 2014-06-20

  Revised date: 2014-11-11

  Online published: 2014-12-26

摘要

目的 探讨血清胱抑素C(Cysc-C)、尿微量白蛋白(UmAlb)、尿β2-MG(Uβ2-MG)检测在肝硬化患者中的应用价值。方法 应用免疫比浊法和酶联免疫法对61例肝硬化患者(其中31例无腹水,30例伴腹水)进行血清Cysc-C、UmAlb、Uβ2-MG水平检测,并与35名正常健康人做比较。结果 肝硬化患者血清Cysc-C、UmAlb、Uβ2-MG水平均显著地高于正常人组(P < 0.01)。肝硬化腹水组又明显高于无腹水组(P <0.01)。血清Cysc-C水平与UmAlb、Uβ2-MG水平呈显正相关(r=0.6011 、 0.5984, P < 0.01)。结论 血清Cysc-C、UmAlb、Uβ2-MG均具有较好的反映肝硬化患者早期肾损伤的诊断价值。

本文引用格式

张 阳,杨自更,郭 勇,蔡冰冰 . 血清胱抑素C、尿微量白蛋白、尿β2-MG检测在肝硬化患者中的应用价值[J]. 标记免疫分析与临床, 2014 , 21(6) : 677 . DOI: 10.11748/bjmy.issn.1006-1703.2014.06.017

Abstract

Objective To explore the values of serum cystatin C (Cys-C), Urine Microalbuminand (UMAlb) and Urineβ2-Microglobin (β2-MG) in patients with liver cirrhosis. Methods The Serum Cys-C, umAlb (with immunoturbility assay) and Uβ2-MG (with ELISA) Levels were determined in 61 patients with liver cirrhosis (30 cases ascites the cirrhosis and 31 cases without ascites) and 35 healthy controls. Results The Serum Cys-C and UmAlb and β2-MG levels in patients were significantly higher than those in controls (P < 0.01). These markers in liver cirrhosis with ascites group were higher that that without ascites groups (P <0.01).The serum Cys-C levels were positively correlated with UmAlb and Uβ2-MG levels (r=0.6011,0.5984, P < 0.01). Conclusion The detection levels of serum Cys-C, UmALb and Uβ2-MG have important value in the early diagnosing renal function damage.
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