海南医学院学报2017，Vol.23Issue(6)：769-772,4.DOI:10.13210/j.cnki.jhmu.20161223.012
糖尿病肾病患者尿白蛋白排泄率与肾功能、炎症反应、氧化应激反应的相关性
Correlation of urinary albumin excretion rate with renal function,inflammatory response and oxidative stress response in patients with diabetic nephropathy
摘要
Abstract
Objective:To study the correlation of urinary albumin excretion rate with renal function,inflammatory response and oxidative stress response in patients with diabetic nephropathy (DN).Methods:A total of 78 patients with DN treated in our hospital December 2012 and March 2016 were collected and divided into early diabetic nephropathy group (n=51) and middle-advanced diabetic nephropathy group (n=27) according to the DN grading standard;60 subjects with normal renal function who received physical examination in our hospital during the same period were selected as normal control group.Immediately after admission,the urinary albumin excretion rate (UAER) of all groups were determined;automatic biochemical analyzer was used to determine renal function index levels,ELISA method was used to determine inflammatory factor levels,and RIA method was used to determine the oxidative stress index levels;Pearson test was used to analyze the correlation of UAER value with renal function,inflammatory response and oxidative stress response in patients with DN.Results:Differences in UAER value as well as renal function index,inflammatory response index and oxidative stress index levels were statistically significant among three groups of subjects.UAER value as well as BUN,Scr,CysC,β2-MG,IL-6,hs-CRP,TNF-α,MDA and AOPP levels of early DN group and middle-advanced DN group were higher than those of normal control group while T-AOC and SOD levels were lower than those of normal control group;UAER value as well as BUN,Scr,CysC,β2-MG,IL-6,hs-CRP,TNF-α,MDA and AOPP levels of middle-advanced DN group was higher than those of early DN group while T-AOC and SOD levels were lower than those of early DN group;UAER value in patients with DN was correlated with renal function,inflammatory response and oxidative stress (P<0.05).Conclusion:UAER value can directly reflect the renal injury,inflammation and oxidative stress in patients with DN,and be the reliable means for early disease diagnosis and treatment guidance.关键词
糖尿病肾病/尿白蛋白排泄率/肾功能/炎症反应/氧化应激反应Key words
Diabetic nephropathy/Urinary albumin excretion rate/Renal function/Inflammatory response/Oxidative stress response分类
医药卫生引用本文复制引用
饶毅峰,杨林,杜京涛,朱平,何川鄂,宋志霞,贾中尉..糖尿病肾病患者尿白蛋白排泄率与肾功能、炎症反应、氧化应激反应的相关性[J].海南医学院学报,2017,23(6):769-772,4.基金项目
This study was supported by Three Gorges University (grant No.A2011-302-23) （grant No.A2011-302-23）
三峡大学培优基金(A2011-302-23) （A2011-302-23）
