实用医学杂志Issue(9):1441-1443,3.DOI:10.3969/j.issn.1006-5725.2015.09.017
随机尿白蛋白/肌酐比值对妊娠期高血压疾病的预测价值
Predictive value of random spot albuminuria to creatinine ratio in women with hypertensive disorders complicating pregnancy
摘要
Abstract
Objective To determine the random spot albuminuria to creatinine ratio (ACR) of normal pregnant women , to track the pregnancy outcome , and to discuss the predictive value of ACR in women with hy-pertensive disorders complicating pregnancy (HDCP). Methods Except for 87 pregnant women suffering from HDCP, 2 038 pregnant women were enrolled in this study. ACR, routine examinations of blood and urine, blood biochemical, 24-hr urinary protein were determined. Results ACR, but not 24-hr urinary protein level,was sig-nificantly higher in women with HDCP. There was positive correlation between the ACR and 24-hr urinary protein quantitation. Age, gestational weeks, ACR, red blood cells, fasting plasma glucose, serum creatinine, total pro-tein were the independent risk factors for HDCP. The sensitivity , specificity and optimal cut off value of ACR for predicting HDCP were 0.78, 0.63, 1.46 mg/mmol. Conclusions There was positive correlation between ACR and 24-hr urinary protein quantitation , and ACR provided a more sensitive pathway for early predictionof HDCP.关键词
高血压,妊娠性/白蛋白尿/肌酸酐/尿分析Key words
Hypertension/Pregnancy-Induced/Albuminuria/Creatinine, Urinalysis引用本文复制引用
阴红,高云飞,何淑明,余艳萍,黄启涛,王艳,孔紫靖,钟梅..随机尿白蛋白/肌酐比值对妊娠期高血压疾病的预测价值[J].实用医学杂志,2015,(9):1441-1443,3.基金项目
中山市科技局立项课题 ()