摘要
目的探讨妊高症早期肾损伤检测视黄醇结合蛋白浓度水平的意义,为临床诊治提供依据。方法选择2011年2月-2013年10月确诊为妊高症的孕妇100例设为试验组,选择同期健康孕检妊娠者100例设为对照组,分别检测视黄醇结合蛋白和胱抑素C的浓度水平,对结果进行分析。结果试验组孕妇的视黄醇结合蛋白和胱抑素C浓度水平明显高于对照组,差异显著(P<0.05),且随着患者病情的加重呈现递增的趋势;试验各组患者孕妇的视黄醇结合蛋白和胱抑素C的阳性检出率分别两两比较均无明显差异(P>0.05),且患者的视黄醇结合蛋白阳性检出率均超过85.0%;临床确诊结果与视黄醇结合蛋白检测结果的Kappa一致性分析得出Kappa值等于0.86。结论视黄醇结合蛋白是一种同胱抑素C一样对妊高症早期肾损伤具有诊断价值的有效指标,具有较高的灵敏度和临床符合性。
Objective To explore the application meaning of the early kidney injury of the Pregnancy-induced hyper-tension syndrome diagnosis by the retinol binding protein testing,and providing the basis for clinical diagnosis and treatment.Methods Choosing 100 cases of the Pregnancy-induced hypertension syndrome patients for the experimental group and 100 cases healthy check-upes for the control group,testing the retinol binding protein and Cystatin C,analy-zing the results.Results Compared with the control group,there were significantly increased of retinol binding protein and Cystatin Cof the experimental group （P 〈0.05）,and along with the deterioration of the patients showed a trend of increasing.There were no significant differences between the retinol binding protein and Cystatin C of the positive rate of the experimental group（p〉0.05）,and the positive rate of the retinol binding protein of the experimental group was more than 85.00%.The Kappa of the retinol binding protein results and the clinical diagnosis was 0.86.Conclusion There is a good indicators of the retinol binding protein whcih as the Cystatin C for the early kidney injury of the Preg-nancy-induced hypertension syndrome diagnosis,and which has high sensitivity and clinical compliance.
出处
《中国实验诊断学》
2015年第4期599-601,共3页
Chinese Journal of Laboratory Diagnosis
关键词
妊高症
视黄醇结合蛋白
胱抑素C
Pregnancy-induced hypertension syndrome
retinol binding protein
Cystatin C
