首页|血尿酸与胱抑素C水平联合检测对糖尿病肾病的诊断效能研究

血尿酸与胱抑素C水平联合检测对糖尿病肾病的诊断效能研究

Diagnostic Efficacy of Combined Blood Uric Acid and Cystatin C Levels in Diabetic Nephropathy

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目的 探讨血尿酸(serum uric acid,SUA)与胱抑素C(cystatin C,CysC)联合检测对糖尿病肾病(diabetic nephropathy,DN)的诊断效能.方法 回顾性选取2021年1月—2024年8月广州市第一人民医院南沙医院收治的 50 例DN患者的临床资料作为探究组,并同期收集 320 例单纯 2 型糖尿病(type 2 diabetes mellitus,T2DM)患者的临床资料作为对照组.两组研究对象分别进行SUA与CysC水平检测,比较两组SUA和CysC水平,并分析SUA、CysC单独及联合检测DN的诊断效能.结果 探究组SUA水平为(762.56±58.36)µmol/L、CysC水平为(5.56±0.13)mg/L,均高于对照组的(589.39±53.47)µmol/L、(3.41±0.27)mg/L,差异均有统计学意义(t=21.031、55.267,P均<0.05).SUA与CysC联合检测的灵敏度、特异度、准确度、阳性预测值、阴性预测值均高于单一检测,差异均有统计学意义(P均<0.05).结论 SUA与CysC水平联合检测DN的灵敏度和特异度较高,能够显著提高诊断的准确度,为临床早期发现和治疗DN提供有力支持.
Objective To investigate the diagnostic efficacy of combined detection of serum uric acid(SUA)and cys-tatin C(CysC)in diabetic nephropathy(DN).Methods The clinical data of 50 patients with DN admitted to Guang-zhou First People's Hospital Nansha Hospital from January 2021 to August 2024 were retrospectively selected as the study group,and the clinical data of 320 patients with simple type 2 diabetes mellitus(T2DM)were collected as the control group.They were tested for SUA and CysC levels of two groups.The levels of SUA and CysC were compared between the two groups,and the diagnostic efficacy of SUA,CysC alone and combined detection for DN were ana-lyzed.Results The levels of SUA and CysC in the study group were(762.56±58.36)µmol/L and(5.56±0.13)mg/L,which were higher than(589.39±53.47)µmol/L and(3.41±0.27)mg/L in the control group,and the differences were statistically significant(t=21.031,55.267,both P<0.05).The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of combined detection of SUA and CysC were higher than those of single detec-tion,and the differences were statistically significant(all P<0.05).Conclusion The sensitivity and specificity of com-bined detection of SUA and CysC levels in DN are high,which can significantly improve the accuracy of diagnosis and provide strong support for early clinical detection and treatment of DN.

Blood uric acidCystatin CDiabetic nephropathyCombined testDiagnostic efficacy

田重阳、钟滴冰、周振雅

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广州市第一人民医院南沙医院,广东 广州 511457

血尿酸 胱抑素C 糖尿病肾病 联合检测 诊断效能

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(20)