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尿微量白蛋白肌酐比值在儿童肾脏疾病的临床应用进展

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尿微量白蛋白肌酐比值(urine microalbumin creatinine ratio,UMACR)具有敏感性、稳定性高以及检测便捷的特点,与24h尿白蛋白定量测定相关性最好.UMACR是多种肾脏疾病良好的早期预测和筛查因子,在患儿尚未发生明显病变的疾病早期,UMACR能够及时发现肾功能的细微变化,从而避免疾病的进展恶化.然而,由于研究质量和数量的限制,以及检测方法、年龄等因素的区别,目前国内外尚无统一的儿童UMACR参考区间,UMACR也未被儿科相关共识和指南推荐.国内外学者使用的参考区间参差不齐,在一定程度上影响了研究结果的参考价值.本文从UMACR的儿童参考区间、UMACR的儿童肾脏病临床应用现状以及存在的不足等方面进行总结,以期为潜在的肾脏病儿童的早期识别积极干预提供参考.
Research progress in clinical application of urinary microalbumin creatinine ratio in children with kidney disease
Urinary microalbumin creatinine ratio(UMACR)is characterized by higher sensitivity,stronger stability and more convenient to be detected,which is best correlated with 24 h urinary albumin quantification.In the early stages of a variety of kidney diseases in children without obvious lesions,UMACR can detect subtle changes in renal function in a timely manner,thus avoiding its progression and deterioration.UMACR is a good early predictor and screening factor for these diseases.However,due to the limitation of research quality and quantity,and the difference between detection methods,age and other factors,there is no uniform reference interval for UMACR in children,UMACR is not recommended by pediatric consensus and guidelines.The reference intervals used by domestic and foreign scholars are uneven,which affects the reference value of the research results to a certain extent.This review summarizes the reference interval of UMACR for children,the clinical application of UMACR for children with kidney disease and its shortcomings,in order to provide reference for early identification and active intervention of potential children with kidney disease.

urinary microalbumin creatinine ratiochildrenmicroalbuminuria

丁乐乐、丁樱、郭婷

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河南中医药大学儿科医学院,郑州 450000

河南中医药大学第一附属医院,郑州 450000

尿微量白蛋白肌酐比值 儿童 微量白蛋白尿

国家自然科学基金资助项目河南省特色骨干学科中医学第二批学科建设项目

81873343STG-ZYX05-202140

2023

生命的化学
中国生物化学与分子生物学会

生命的化学

CSTPCD
影响因子:0.404
ISSN:1000-1336
年,卷(期):2023.43(1)
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