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随机尿蛋白与尿肌酐比值测定临床分析 被引量:10

Clinical analysis of spot urine protein/creatinine ratio
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摘要 目的探讨随机尿蛋白(Up)与尿肌酐(Ucr)比值(Up/Ucr)的改变在肾病患者诊断和治疗中的临床意义。方法肾病患者根据肾功能[血尿素(Bun(和血肌酐(Cr)]分为肾功能正常组(25例)和肾功能异常组(45例),同时选择健康对照组30例,分别检测出各组的Up/Ucr和24hUp,对其进行统计学处理。结果肾病患者Up/Ucr和24hUp水平均明显高于健康对照组(P<0.01),肾功能异常组Up/Ucr和24hUp水平与肾功能正常组比较均无差异(P>0.05)。结论各种类型肾病患者Up/Ucr和24hUp均增高,且与肾功能无关。Up/Ucr与24hUp有良好的相关性,可代替24hUp用于临床蛋白尿的监测,可作为肾病的筛查指标。 Objective To evaluate the clinical application of the spot Urine protein to creatinine ratio(Up/ Ucr) in diagnosing and treating renal disease patients. Methods According to the renal function indiee(ineluding ereatinine and blood urea nitrogen ),70 patients with renal disease were divided into two groups:the normal renal function group(n:25) and the abnormal renal function group(n=45). Another 30 health people served as the control group. The levels of Up/Ucr and 24 h Up were examined,and analyzed its' statistics. Results The levels of Up/Ucr and 24 h Up in patients with renal disease were significantly higher than those in the control group(P〈0.01) ,while the levels of Up/Ucr and 24 h Up in abnormal renal function group were no difference than those in the normal renal function group(P〉0.05). Conclusion The levels of Up/Ucr and 24 h Up were increasing in all kinds of renal disease patients,and were no relations with the renal function. The Up/Ucr in spot urine samples can be used as an al ternative to urine protein excretion in 24 h Up collections in renal disease patients and as a screening index of renal disease.
出处 《检验医学与临床》 CAS 2010年第4期293-294,共2页 Laboratory Medicine and Clinic
关键词 肾病 尿蛋白/尿肌酐比值 肾功能 蛋白尿 renal disease urine protein/creatinine ratio renal function proteinuria
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