首页|尿液中相关指标联合检测在评估高血压患者早期肾损伤中的应用价值

尿液中相关指标联合检测在评估高血压患者早期肾损伤中的应用价值

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目的:探讨尿微量白蛋白(mALB)、转铁蛋白(TRF)、免疫球蛋白G(IgG)、视黄醇结合蛋白(RBP)联合检测在评估高血压患者发生早期肾损伤中的价值。方法:选取 2023年 4月—2024年 4月金乡县人民医院收治的 120例高血压伴早期肾损伤患者为研究组,另选同期单纯高血压患者 120例为对照组,并选同期健康体检者 120例为健康组。三组均采集尿液标本检测mALB、TRF、IgG、RBP水平,比较三组差异,并绘制ROC曲线分析尿液指标在高血压患者发生早期肾损伤内的诊断价值。结果:研究组尿mALB、TRF、IgG、RBP水平均高于对照组、健康组,差异均有统计学意义(P<0。05)。ROC曲线显示,尿mALB、TRF、IgG、RBP联合检测诊断高血压患者发生早期肾损伤价值均高于尿mALB、TRF、IgG、RBP单独检测。结论:尿mALB、TRF、IgG、RBP检测在高血压患者发生早期肾损伤中具有一定的诊断价值,联合检测诊断价值均高于单独检测,利于尽早发现早期肾损伤。
Application Value of Combined Detection of Relevant Indicators in Urine in the Assessment of Early Renal Injury in Hypertensive Patients
Objective:To investigate the value of urinary microalbumin(mALB),transferrin(TRF),immunoglobulin G(IgG)and retinol binding protein(RBP)combined detection in the assessment of early renal injury in patients with hypertension.Methods:A total of 120 patients with hypertension and early renal injury admitted to Jinxiang County People's Hospital from April 2023 to April 2024 were selected as the study group,a total of 60 patients with simple hypertension were selected as the control group,and a total of 60 healthy subjects were selected as the healthy group during the same period.Urine samples were collected in all three groups to detect mALB,TRF,IgG and RBP levels.The differences among the three groups were compared,and ROC curve was drawn to analyze the diagnostic value of urine indexes in patients with hypertension and early renal injury.Results:The levels of urinary mALB,TRF,IgG and RBP in study group were higher than those in control group and healthy group,the differences were statistically significant(P<0.05).The ROC curve showed that the combined detection of urinary mALB,TRF,IgG and RBP in the diagnosis of early renal injury in hypertensive patients was higher than the single detection of urinary mALB,TRF,IgG and RBP.Conclusion:Urine mALB,TRF,IgG and RBP have certain diagnostic value in early renal injury in hypertensive patients,and the diagnostic value of combined detection is higher than that of single detection,which is conducive to early renal of injury.

HypertensionEarly renal injuryUrinary microalbuminRetinol-Binding proteinImmunoglobulin GDiagnostic value

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山东省金乡县人民医院检验科,山东 济宁 272000

高血压 早期肾损伤 尿微量白蛋白 视黄醇结合蛋白 免疫球蛋白G 诊断价值

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(19)