首页|25羟维生素D、超敏c反应蛋白、估计肾小球滤过率与脑萎缩相关性的临床研究

25羟维生素D、超敏c反应蛋白、估计肾小球滤过率与脑萎缩相关性的临床研究

Clinical Study on Correlation between 25 Hydroxyvitamin D,Hypersensitive C-Reactive Protein,Estimated Glomerular Filtration Rate and Brain Atrophy

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目的:探讨脑萎缩患者25 羟维生素D、超敏c反应蛋白(hs-CRP)、估计肾小球滤过率检测意义及其对脑萎缩预测价值.方法:回顾性分析脑萎缩的且年龄≥50 岁的 155 例患者(观察组)与年龄≥50 岁的 134 名健康体检人群(对照组).分别检测两组25 羟维生素D、hs-CRP、肾小球滤过率,分析检测指标对脑萎缩的预测价值.结果:观察组 25 羟维生素D、估计肾小球滤过率低于对照组,hs-CRP高于对照组(P<0.05).联合检测诊断脑萎缩的曲线下面积AUC优于三项指标单独检测(P<0.05).25 羟维生素D、hs-CRP与估计肾小球滤过率联合检测诊断脑萎缩的效能高于三项指标单独检测(P<0.05).各指标均与脑萎缩呈密切相关(P<0.05).结论:25 羟维生素D、估计肾小球滤过率、hs-CRP与中老年人脑萎缩发生发展相关,有一定预测性,临床针对上述指标进行联合检测可为脑萎缩的早发现早干预提供一定帮助.
Objective:To investigate the significance of detecting 25 hydroxyvitamin D,hypersensitive C-reactive protein (hs- CRP)and estimated glomerular filtration rate in patients with brain atrophy and their predictive value.Methods:155 patients with brain atrophy aged ≥50 years (observation group)and 134 healthy people aged ≥50 years (control group)were retrospectively analyzed.25 hydroxyvitamin D,hs-CRP and estimated glomerular filtration rate were detected respectively in two groups,and the predictive value of detection indexes on brain atrophy was analyzed.Results:The 25 hydroxyvitamin D and estimated glomerular filtration rate in observation group were lower than those in control group,and hs-CRP was higher than that in control group (P<0. 05).The AUC of the area under the curve in the diagnosis of brain atrophy by combined detection was better than that by the three indexes alone (P<0.05).The combined determination of 25 hydroxyvitamin D,hs-CRP and estimated glomerular filtration rate was more effective in diagnosing brain atrophy than the three indexes alone (P<0.05).All the indexes were closely correlated with brain atrophy (P<0.05).Conclusion:25 hydroxyvitamin D,estimated glomerular filtration and hs-CRP are related to the occurrence and development of brain atrophy in middle-aged and elderly people,and have a certain predictability.Clinical combined detection of these indicators can provide a certain help for early detection and intervention of brain atrophy.

Cerebral atrophy25 Hydroxyvitamin DHs-CRPEstimated glomerular filtration rateDetection value

黄晨岚

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厦门弘爱医院(福建 厦门 361004)

脑萎缩 25羟维生素D hs-CRP 估计肾小球滤过率 检测价值

2022年厦门市医疗卫生指导性项目

3502Z20224ZD1108

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(1)
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