Analysis of the Diagnostic Value of Urinary Microalbumin Test for Early Kidney Injury in Hypertensive Patients during Pregnancy
This study aims to explore the application value of urine microalbumin detection in the early diagnosis of renal damage in patients with pregnancy-induced hypertension,providing a more scientific basis for the clinical diagnosis and intervention of early renal damage.A total of 150 patients with pregnancy-induced hypertension who visited the authors'hospital from January 2022 to June 2023 were selected as the research subjects.All pregnant women underwent urine microalbumin and serum creatinine level tes-ting,and clinical characteristics and maternal outcomes were recorded.The correlation between urine microalbumin and other renal function indicators was also compared.Among the 150 patients with pregnancy-induced hypertension,95 cases(63.3％)showed positive results in urine microalbumin detection,suggesting early renal damage.Patients in the urine microalbumin-positive group had significantly higher levels of creatinine,average systolic blood pressure,diastolic blood pressure,and quantitative urine protein than the negative group(P＜0.05).The results of urine microalbumin detection showed a moderate positive correlation with systolic blood pressure(r=0.421,P＜0.01),indicating an increasing trend in systolic blood pressure with the rise in urine microalbumin detection results.There was a mild positive correlation between urine microalbumin detection results and diastolic blood pressure(r=0.315,P＜0.01),suggesting a slight increase in diastolic blood pressure with higher urine microalbumin detection results.Fur-thermore,there was a moderate positive correlation between urine microalbumin detection results and the rate of premature delivery(r=0.529,P＜0.01),implying an association between elevated urine microalbumin detection results and an increased incidence of premature delivery.Furthermore,patients in the positive group were more likely to experience complications such as premature delivery(P＜0.01).Urine microalbumin detection has good application value in the early diagnosis of renal damage in patients with pregnancy-induced hypertension.A positive result may indicate a risk of renal damage in patients,necessitating close monitoring and intervention to reduce the occurrence of adverse maternal and fetal outcomes.
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