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胱抑素C与超敏C-反应蛋白在糖尿病肾病早期诊断中的应用 被引量:7

SERUM CYSTATIN C AND HIGH SENSITIVITY C-REACTIVE PROTEIN IN EARLY DIAGNOSIS OF DIABETIC NEPHROPATHY
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摘要 目的探讨2型糖尿病(T2DM)患者血清Cysc和hs-CRP的水平对诊断糖尿病早期肾损害的价值。方法T2DM患者根据其肾功能分为肾功能正常组和肾功能异常组,各30例,同时选择30例健康者为对照组。比较各组血清CysC以及hs-CRP水平。结果T2DM患者CysC以及hs-CRP水平均高于对照组(P<0.05),肾功能异常组患者的CysC以及hs-CRP水平也明显高于肾功能正常组(P<0.05);在T2DM患者中,血清CysC与hs-CRP呈正相关(r=0.39)。结论CysC和hs-CRP作为诊断糖尿病早期肾损害的敏感指标,联合检测更具价值。 Objective Methods To evaluate the clinical value of the levels of serum cystatin C (CysC) and high sensitive C - reactive (hs - CRP) protein in diagnosing Type 2 diabetes mellitus (T2DM) patients with early renal injury. Methods According to the renal function indice(including creatinine and blood urea nitrogen), 60 patients with T2DM were divided into two groups : the normal renal function group(n= 30)and the abnormal renal functlon group(n= 30). Another 30 health people served as the control group. The levels of serum Cys C and hs - CRP were examined. Results The levels of serum Cys C and hs- CRP in patients with T2DM were significantly higher than those in the control group( P 〈 0.01 ), while the levels of serum Cys C and hs- CRP in abnormal renal function group also significantly higher than those in the normal renal function group( P 〈0.01). The level of serum CysC was positively correlated with the level of hs- CRP(r= 0.39)in T2DM patients. Conclusion CysC and hs - CRP may be used as sensitive indexes of diagnosing early renal injury in type 2 diabetes mellitus. Combined examination can have more practical value.
作者 董立
出处 《山东医学高等专科学校学报》 2009年第5期381-382,共2页 Journal of Shandong Medical College
关键词 胱抑素C 超敏-C反应蛋白 糖尿病 肾损害 并发症 Cystatin C High sensitive C- reactive protein Diabetes mellitus Renal injury Complications
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