首页|α1-微球蛋白、C反应蛋白联合尿白蛋白/尿肌酐在糖尿病早期肾病中的诊断价值

α1-微球蛋白、C反应蛋白联合尿白蛋白/尿肌酐在糖尿病早期肾病中的诊断价值

扫码查看
目的 探究α1-微球蛋白(Alpha-1 Microglobulin,α1-MG)、C反应蛋白(C-reactive Protein,CRP)联合尿白蛋白/尿肌酐(Urine Albumin-To-Creatinine Ratio,UACR)在糖尿病早期肾病中的诊断价值.方法 选取2022年1月—2023年11月泰安八十八医院收治的200例单纯糖尿病患者作为观察A组、同时选取200例糖尿病早期肾病患者作为观察B组,并选取120名健康体检人员作为对照组.所有研究对象均采取α1-MG、CRP、UACR指标检测,并分析α1-MG、CRP联合UACR在糖尿病早期肾病中的诊断价值.结果 观察B组α1-MG(38.92±8.02)mg/L、CRP(4.06±1.13)mg/L及UACR(38.14±7.52)mg/g均高于对照组及观察A组,且观察A组各水平高于对照组,差异有统计学意义(F=362.467,572.042,729.165,P均<0.05).α1-MG、CRP联合UACR诊断糖尿病早期肾病的准确度(86.54%)、特异度(88.75%)、灵敏度(83.00%)均高于各项指标单一检测.结论 对于糖尿病早期肾病患者来说,应当进行及早诊断和治疗,而α1-MG、CRP及UACR在糖尿病早期肾病中具有一定的指示作用.
Diagnostic Value of α1-microglobulin,C-reactive Protein Combined with Urine Albumin-to-creatinine Ratio in Early Diabetic Nephropathy
Objective To explore the diagnostic value of α1-microglobulin(α1-MG),C-reactive protein(CRP)com-bined with urine albumin-to-creatinine ratio(UACR)in early diabetic nephropathy.Methods Two hundred patients with simple diabetes admitted to Tai'an 88 Hospital from January 2022 to November 2023 were selected as observa-tion group A,two hundred patients with early diabetic nephropathy were selected as observation group B,and one hun-dred and twenty healthy physical examination personnel were selected as control group.All subjects were measured by α1-MG,CRP,and UACR.And the diagnostic value of α1-MG,CRP and UACR in early diabetic nephropathy was analyzed.Results α1-MG(38.92±8.02)mg/L,CRP(4.06±1.13)mg/L and UACR(38.14±7.52)mg/g in observation group B were higher than those in control group and observation group A,and observation group A was higher than control group,and differences were statistically significant(F=362.467,572.042,729.165,all P<0.05).The accuracy(86.54%),specificity(88.75%)and sensitivity(83.00%)of α1-MG and CRP combined with UACR in the diagnosis of early diabetic nephropathy were higher than that of single detection.Conclusion For patients with early diabetic ne-phropathy,early diagnosis and treatment should be carried out,and α1-MG,CRP and UACR have certain indicative roles in early diabetic nephropathy.

α1-microglobulinC-reactive proteinUrine albumin-to-creatinine ratioEarly diabetic nephropathyDiagnostic value

李兴华、张明霞、丁艳红

展开 >

泰安八十八医院检验科,山东泰安 271000

α1-微球蛋白 C反应蛋白 尿白蛋白/尿肌酐 糖尿病早期肾病 诊断价值

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(10)