首页|透明质酸、视黄醇结合蛋白、糖化血红蛋白水平联合检测在糖尿病肾病诊断中的效能

透明质酸、视黄醇结合蛋白、糖化血红蛋白水平联合检测在糖尿病肾病诊断中的效能

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目的:分析透明质酸(HA)、视黄醇结合蛋白(RBP)、糖化血红蛋白(HbA1c)水平联合检测在糖尿病肾病诊断中的效能.方法:选取 2021-2023 年该院收治的 90 例糖尿病肾病患者为观察组,另选取同期该院 68 名健康体检者为对照组.比较两组、不同临床分期糖尿病肾病患者HA、RBP、HbA1c水平,采用受试者工作特征(ROC)曲线分析HA、RBP、HbA1c水平单项及联合检测在糖尿病肾病诊断中的效能.结果:观察组HA、RBP、HbA1c水平均高于对照组,差异有统计学意义(P<0.05);Ⅳ期糖尿病肾病患者血清HA、RBP、HbA1c水平均高于Ⅱ、Ⅲ期患者,且Ⅲ期患者高于Ⅱ期患者,差异有统计学意义(P<0.05);ROC曲线分析结果显示,HA、RBP、HbA1c水平单项及联合检测诊断糖尿病肾病的曲线下面积分别为0.905、0.912、0.908、0.926,且联合检测高于各单项检测.结论:HA、RBP、HbA1c水平联合检测诊断糖尿病肾病的效能高于各单项检测.
Efficiency of combined detection of hyaluronic acid,retinol binding protein and glycosylated hemoglobin levels in diagnosis of diabetic nephropathy
Objective:To analyze efficiency of combined detection of hyaluronic acid(HA),retinol-binding protein(RBP)and glycosylated hemoglobin(HbA1c)levels in diagnosis of diabetic nephropathy.Methods:A total of 90 patients with diabetic nephropathy admitted to this hospital from January 2021 to December 2023 were selected as the observation group,and 68 healthy subjects during the same period were selected as the control group.The levels of HA,RBP and HbA1c were compared between the two groups and among the patients with different clinical stages of diabetic nephropathy.The receiver operating characteristic(ROC)curve was used to analyze the efficiencies of single and combined detection of HA,RBP and HbA1c levels in the diagnosis of diabetic nephropathy.Results:The levels of HA,RBP and HbA1c in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The levels of HA,RBP and HbA1c in the patients with stage IV diabetic nephropathy were higher than those in the patients with stage II and III,those in the patients with stage III were higher than those in the patients with stage II,and the differences were statistically significant(P<0.05).ROC curve analysis showed that the area under the curve of single and combined detection of HA,RBP and HbA1c levels in the diagnosis of diabetic nephropathy were 0.905,0.912,0.908 and 0.926,respectively.The efficiency of combined detection was higher than that of each single detection.Conclusions:The efficiency of combined detection of HA,RBP and HbA1c levels in the diagnosis of diabetic nephropathy is higher than that of each single detection.

Diabetic nephropathyHyaluronic acidRetinol-binding proteinGlycosylated hemoglobinDiagnosisEfficiency

续燕、吴冰

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北京市丰台康复医院(铁营医院)检验科,北京 100161

糖尿病肾病 透明质酸 视黄醇结合蛋白 糖化血红蛋白 诊断 效能

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(17)