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尿液微量白蛋白于肌酐比值在糖尿病肾病早期诊断中的价值 被引量:9

The significance of urinary Malb/Cr ratio in diagnosis of early diabetic nephropathy
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摘要 目的探讨尿微量白蛋白与肌酐比值(Malb/Cr)在糖尿病肾病早期诊断中的价值。方法应用日立7060型全自动生化分析仪检测Ⅱ型糖尿病患者124例及健康者58例尿液中微量白蛋白与肌酐的含量。结果糖尿病患者尿液Malb/Cr对数值明显高于健康者(P<0.001)。糖尿病患者尿液Malb/Cr对数值与血糖无相关性(r=0.001),与24h尿蛋白定量有低度的等级正相关(r=0.403)。结论糖尿病患者尿液Malb/Cr升高可提示早期肾损伤,对糖尿病肾病的早期诊断具有重要价值。 Objective To study the significance of urinary Malb/Cr ratio in diagnosis of early diabetic nephropathy. Methods The levels of urinary microablumin and creatinine were determined by Hitachi -7180 fully automatic biochemical analyzer in 124 patients with type Ⅱ diabetes mellitus and 58 healthy controls. Results The logarithm of urinary Malb/Cr in diabetes group was significantly higher than that of healthy group( P 〈0. 001 ). The logarithm of urinary Malb/Cr was not correlated with blood level of glucose ( r =0. 001 ) in diabetic nephropathy, and it was related with amount of 24 hours urinary protein ( r = 0. 403 ). Conclusion The increase in urinary Malb/Cr indicates the early renal damage in diabetes patients, and it has great significance in diagnosis of early diabetic nephropathy.
作者 陈强 刘明开
出处 《临床和实验医学杂志》 2009年第6期11-12,共2页 Journal of Clinical and Experimental Medicine
关键词 微量白蛋白/肌酐 糖尿病肾病 诊断 尿液 Malb/Cr Diabetic nephropathy Diagnosis Urinary
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