医学临床研究
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医学临床研究  2019, Vol. 36 Issue (5): 917-918    DOI: 10.3969/j.issn.1671-7171.2019.05.028
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血清胱抑素C、尿肾损伤分子1与造影剂肾病的相关性及临床意义
扆恒亮1, 孙誉1, 刘君1, 杨大浩2
1.广东省第二人民医院,广东 广州 510317;
2.中国医学科学院阜外医院深圳医院,广东 深圳 518021
Correlation and Clinical Significance of Serum Cystatin C, Urinary Kidney Injury Molecule 1 with Contrast-Induced Nephropathy
YI Heng-liang, SUN Yu, LIU Jun, et al
Second People's hospital of Guangdong Province,Guangzhou Guangdong 510317
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摘要 【目的】探讨血清胱抑素C(Cys-C)、尿肾损伤分子1(Kim-1)与造影剂肾病(CIN)的相关性及临床意义。【方法】本院收治的CIN患者43例作为观察组,选取同时期来本院健康检查的健康人群43例作为对照组,比较两组对象的Cys-C以及Kim-1等因子表达水平的差异,并观察患者临床特征与生化指标之间的相关性。【结果】观察组患者Cys-C,Kim-1水平明显高于对照组,且差异有显著性(P<0.05);CIN患者Cys-C以及Kim-1水平随着病情的严重程度逐渐升高,重度患者的Cys-C及Kim-1水平明显高于CIN中度和轻度患者(P<0.05),CIN中度患者Cys-C以及Kim-1水平高于轻度患者,且差异均有显著性(P<0.05)。相关性分析显示性别、年龄、造影剂用量、Cys-C以及Kim-1水平与CIN的发生率有明显的相关性(P<0.05)。【结论】Cys-C、Kim-1指标与CIN患者之间有着较为密切的联系,能反映患者疾病的严重程度,能为患者早期疾病的诊治提供可靠的依据。
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作者相关文章
扆恒亮
孙誉
刘君
杨大浩
关键词 肾疾病/化学诱导造影剂/副作用半胱氨酸蛋白酶抑制剂    
Abstract【Objective】To investigate the correlation and clinical significance of serum cystatin C(Cys-C), urinary kidney injury molecule 1 (Kim-1) with contrast-induced nephropathy(CIN). 【Methods】A total of 43 patients with CIN admitted to our hospital were enrolled in the observation group, while 43 cases of healthy volunteers in the same period were selected as the control group. The differences in the expression levels of Cys-C and Kim-1 were compared between the two groups, and the correlation between clinical features and biochemical indicators was observed. 【Results】In terms of related factor levels, the levels of Cys-C and Kim-1 in the observation group were significantly higher than those in the control group (P<0.05). The levels of Cys-C and Kim-1 in patients with CIN gradually increased with the severity of the disease. The levels of Cys-C and Kim-1 in severe patients were significantly higher than those in moderate and mild CIN patients (P<0.05). The levels of Cys-C and Kim-1 were higher in patients than in mild patients, and the differences were significant (P<0.05). Correlation analysis showed that gender, age, contrast agent dosage, Kim-1and Cys-C levels were were significantly correlated with the incidence of CIN (P<0.05). 【Conclusion】 Indicators such as Cys-C and Kim-1 are closely related to patients with CIN , which can reflect the severity of the disease and provide reliable evidence for the diagnosis and treatment of early disease.
Key wordsKidney Diseases/CI    Contrast Media /AE    Cysteine Proteinase Inhibitors
收稿日期: 2019-02-21     
PACS:  R692  
通讯作者: E-mail:yangdahao@126.com   
引用本文:   
扆恒亮, 孙誉, 刘君, 杨大浩. 血清胱抑素C、尿肾损伤分子1与造影剂肾病的相关性及临床意义[J]. 医学临床研究, 2019, 36(5): 917-918.
YI Heng-liang, SUN Yu, LIU Jun, et al. Correlation and Clinical Significance of Serum Cystatin C, Urinary Kidney Injury Molecule 1 with Contrast-Induced Nephropathy. JOURNAL OF CLINICAL RESEARCH, 2019, 36(5): 917-918.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2019.05.028     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2019/V36/I5/917
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