首页|血清胱抑素C和血清淀粉样蛋白A联合检测对早期糖尿病视网膜病变的诊断价值

血清胱抑素C和血清淀粉样蛋白A联合检测对早期糖尿病视网膜病变的诊断价值

扫码查看
目的 探讨血清胱抑素C(CysC)和血清淀粉样蛋白A(SAA)联合检测对早期糖尿病视网膜病变(DR)的诊断价值.方法 选取2021年8月至2023年6月我院收治的120例2型糖尿病(T2DM)患者,按眼底病变程度不同分为NDR组(T2DM未伴DR,40例)、背景组(T2DM伴DR背景期,40例)和增殖组(T2DM伴DR增殖期,40例).对比三组患者的血清CysC、SAA水平,分析血清CysC和SAA单独和联合检测对早期DR的诊断效能.结果 三组患者血清CysC、SAA水平比较差异有统计学意义,其中增殖组>背景组>NDR组(P<0.05);绘制受试者工作特征(ROC)曲线结果显示,血清CysC和SAA联合检测诊断早期DR的曲线下面积(AUC)为0.713,高于各指标单独诊断(P<0.05).结论 血清CysC、SAA联合检测对早期DR的诊断价值较高,值得临床推广应用.
Diagnostic Value of Combined Detection of Serum Cystatin C and Serum Amyloid A for Early Diabetic Retinopathy
Objective To explore the diagnostic value of combined detection of serum Cystatin C(CysC)and serum amyloid A(SAA)for early diabetic retinopathy(DR).Methods 120 patients with type 2 diabetes mellitus(T2DM)admitted to our hospital from August 2021 to June 2023 were selected and divided into NDR group(T2DM without DR,40 cases),background group(T2DM with DR background,40 cases)and proliferation group(T2DM with DR proliferation,40 cases)according to the degree of fundus lesions.The serum CysC and SAA levels among the three groups were compared,and the diagnostic efficacy of single and combined detection of serum CysC and SAA for early DR was analyzed.Results Statistical difference was found in the serum CysC and SAA levels among the three groups:the proliferation group>the background group>the NDR group(P<0.05).Receiver operating characteristic(ROC)curve results showed that the area under the curve(AUC)of combined detection of serum CysC and SAA in the diagnosis of early DR was 0.713,higher than the individual diagnosis of each indicator(P<0.05).Conclusions The combined detection of serum CysC and SAA has higher diagnostic value for early DR,which is worthy of clinical promotion and application.

Serum Cystatin CSerum amyloid protein AType 2 diabetes mellitusEarly diabetic retinopathyDiagnostic value

马雯雯、潘美靖、邱壮忠、蔡洁娜

展开 >

普宁市人民医院检验科,广东普宁 515300

血清胱抑素C 血清淀粉样蛋白A 2型糖尿病 早期糖尿病视网膜病变 诊断价值

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(9)