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糖尿病肾病的早期诊断相关指标研究进展

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糖尿病肾病(DKD)是糖尿病最严重的微血管并发症之一,也是终末期肾病的常见原因.早期肾损伤时缺乏典型临床症状,起病隐匿,临床上常见反映肾损伤的指标有尿微量白蛋白、肾小球滤过率等,因其缺乏敏感性和特异性,易造成漏诊、误诊,延误病情.因此,寻找更为便利、稳定、创伤性小的检测指标对DKD的早期诊断具有重要意义.本文就肾小球和肾小管损伤的相关因子、氧化应激及炎症反应、微小RNA、蛋白质组学等生物指标的研究进展进行综述,为临床DKD的早期诊断提供一定的参考价值.
Research progress on indicators for early diagnosis of diabetic kidney disease
Diabetic kidney disease(DKD)is one of the most serious microvascular complications of diabetes and a common cause of end-stage renal disease.Early kidney injury lacks typical clinical symptoms and its onset is insidiously.The common clinical indicators of kidney injury are urine microalbumin,glomerular filtration rate,etc.Due to their lack of sensitivity and specificity,it is easy to cause missed diagnosis,misdiagnosis,and delay the disease.Therefore,it is of great significance to find more convenient,stable,and less invasive detection indicators for the early diagnosis of DKD.This paper reviews the research progress of biological indicators related to glomerular and tubular injury,oxidative stress,inflammatory response,microRNA and proteomics,which provides a certain reference value for the early diagnosis of clinical DKD.

diabetic kidney diseaseearly diagnosissensitive indicators

孟雪、王慧文

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沈阳医学院公共卫生学院流行病学教研室,辽宁 沈阳 110034

糖尿病肾病 早期诊断 敏感指标

2024

沈阳医学院学报
沈阳医学院

沈阳医学院学报

影响因子:0.591
ISSN:1008-2344
年,卷(期):2024.26(2)
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