首页|血清胃泌素释放肽前体水平与慢性肾脏病患者不同分期的相关性研究

血清胃泌素释放肽前体水平与慢性肾脏病患者不同分期的相关性研究

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目的:探讨慢性肾脏病(CKD)不同分期与血清胃泌素释放肽前体(ProGRP)水平的相关性.方法:选择2021-2023年宜宾市第四人民医院就诊的165例CKD患者作为研究组(CKD组),另选取50例健康志愿者作为对照组(HC组),测定ProGRP、尿素氮、肌酐、尿酸、胱抑素C水平,根据估算肾小球滤过率(eGFR)确定CKD分期.比较不同分期CKD患者与HC组血清ProGRP及肾功能检测指标水平差异,分析CKD组血清ProGRP与肾功能检测指标水平的相关性.结果:CKD组的血清ProGRP水平高于HC组,从CKD3期开始,随着CKD分期增加,ProGRP、尿素氮、肌酐水平逐渐升高,eGFR逐渐降低,差异有统计学意义(P<0.001).CKD组血清ProGRP与尿素氮、肌酐、尿酸、胱抑素C水平均呈正相关,与eGFR呈负相关,差异有统计学意义(r=-0.739,P<0.001).结论:CKD患者血清ProGRP明显高于健康人群,且随着CKD分期增加血清ProGRP水平逐渐升高,血清ProGRP水平与肾功能检测指标具有相关性,血清ProGRP水平可用于评估CKD病情的严重程度..
Correlation Between the Different Stages of Chronic Kidney Disease and the Levels of Serum ProGRP/
Objective:To investigate the correlation between the different stages of chronic kidney disease(CKD)and the levels of serum gastrin-releasing peptide precursor(ProGRP).Methods:A total of 165 patients with CKD and 50 matched healthy volunteers were included.ProGRP,urea nitrogen,creatinine,uric acid and cystatin C were determined.The stage of CKD was determined according to eGFR.The differences of ProGRP and renal function detection indexes between the control group and the CKD group were compared.The correlation between ProGRP and renal function detection indexes in the CKD group was also analyzed.Results:The level of serum ProGRP in CKD group was higher than that in control group.The level of ProGRP was gradually increased and eGFR was gradually decreased with the increase of CKD stages from the CKD3 stage,with statistically significant difference(P<0.001).In CKD group,ProGRP was positively correlated with urea nitrogen,creatinine,uric acid and cystatin C,negatively correlated with eGFR(r=-0.739,P<0.001).Conclusion:The level of serum ProGRP in patients with CKD is higher than that in healthy people,and it is gradually increased with the increase of stage of CKD.The level of serum ProGRP is correlated with the detection indicators of renal function.The level of serum ProGRP can be used to assess the severity of CKD in clinic.

Chronic kidney diseaseGastrin-releasing peptide precursorUrea nitrogenCreatinine

周静、段业芬、邓杰、聂晓冬、杨祺、张会林、聂滨

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宜宾市第四人民医院检验科,四川 宜宾 644000

宜宾市第四人民医院放射科,四川 宜宾 644000

宜宾市第四人民医院肾病内科,四川 宜宾 644000

宜宾市第二人民医院检验科,四川 宜宾 644000

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慢性肾脏病 血清胃泌素释放肽前体 尿素氮 肌酐

宜宾市卫生健康委员会项目

2020YW080

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(19)