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随机尿尿酸/肌酐在克拉玛依地区高尿酸血症患者分型诊断中的应用
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作者 王晓妹 罗超 +6 位作者 帖阳 贺勇 杨喜奎 刘雅琳 孙悦 王福刚 何訸 《检验医学》 CAS 2024年第9期859-864,共6页
目的探讨随机尿尿酸/肌酐(UA/Cr)在克拉玛依地区高尿酸血症(HUA)患者分型诊断中的应用价值。方法选取2022年4月—2023年5月克拉玛依市中西医结合医院(市人民医院)HUA患者126例(HUA)组、健康体检者124名(对照组)。检测所有研究对象总胆固... 目的探讨随机尿尿酸/肌酐(UA/Cr)在克拉玛依地区高尿酸血症(HUA)患者分型诊断中的应用价值。方法选取2022年4月—2023年5月克拉玛依市中西医结合医院(市人民医院)HUA患者126例(HUA)组、健康体检者124名(对照组)。检测所有研究对象总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、空腹血糖(FBG)、血清尿素(SU)、血清尿酸(SUA)、血清肌酐(SCr)、尿尿酸(UUA)、尿肌酐(UCr)水平。采用Spearman分析评价HUA组随机尿UA/Cr与24 h尿尿酸排泄量(UUE)和肾脏尿酸排泄分数(FEUA)的相关性。采用受试者工作特征(ROC)曲线评价随机尿UA/Cr判断HUA患者分型的效能。结果HUA组和对照组性别、年龄、TC、HDL-C、SU、肾小球滤过率(eGFR)差异均无统计学意义(P>0.05)。HUA组体重指数、TG、FBG、SUA、SCr均显著高于对照组(P<0.05),HUA组尿pH值显著低于对照组(P<0.05)。肾脏排泄不良型与肾脏负荷过多型UUA、UUE、FEUA、随机尿UA/Cr比较差异均有统计学意义(P<0.05)。肾脏排泄不良型UUA、UUE、随机尿UA/Cr均低于混合型(P<0.05)。HUA组随机尿UA/Cr与UUE、FEUA均呈正相关(r值分别为0.7784、0.7086,P<0.05)。随机尿UA/Cr判断FEUA 5.5%的临界值为0.297,敏感性为92.5%,特异性为64.4%,曲线下面积(AUC)为0.804。随机尿UA/Cr判断HUA UUE≤600 mg·d^(–1)·(1.73m^(2))–1的临界值为0.302,敏感性为87.6%,特异性为100.0%,AUC为0.979。肾脏排泄不良型随机尿UA/Cr分型临界值为<0.297;肾脏负荷过多型随机尿UA/Cr分型临界值为>0.302;其他型随机尿UA/Cr分型临界值为≥0.297且≤0.302;混合型无法依据统计学结果筛选。结论随机尿UA/Cr对克拉玛依地区HUA分型有一定参考价值。 展开更多
关键词 随机尿尿酸/肌酐 尿酸血症 尿酸排泄量 尿酸排泄分数
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豆粕替代比例对其代谢能和肉鸡氮代谢的影响
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作者 郭诚诺 韩明霞 +4 位作者 姜亭亭 王钰明 赵峰 解竞静 萨仁娜 《中国农业科学》 CAS CSCD 北大核心 2024年第18期3695-3703,共9页
【目的】探讨豆粕替代比例对其代谢能评价及肉鸡氮代谢的影响,进一步分析尿酸及可消化氮与豆粕代谢能(AME)的关系,为精确测定饲料原料代谢能提供科学依据。【方法】采用单因素完全随机设计,试验饲粮中豆粕的添加水平作为单一变量。选取... 【目的】探讨豆粕替代比例对其代谢能评价及肉鸡氮代谢的影响,进一步分析尿酸及可消化氮与豆粕代谢能(AME)的关系,为精确测定饲料原料代谢能提供科学依据。【方法】采用单因素完全随机设计,试验饲粮中豆粕的添加水平作为单一变量。选取216只22日龄体重相近的AA肉公鸡,随机分为6个处理组,其中待测豆粕替代比例分别设置为10%(SM10)、20%(SM20)、30%(SM30)和40%(SM40),同时设置基础饲粮组1和基础饲粮组2。每个处理设6个重复,每个重复6只鸡。在肉鸡22—28日龄开展代谢试验,以重复为单位收集全部排泄物,分别测定饲料和排泄物中的总能、粗蛋白质以及排泄物中的尿酸含量,分析尿酸与豆粕表观代谢能(AME)和氮校正表观代谢能(AMEn)的关系。【结果】(1)豆粕替代比例对肉鸡总能摄入量无显著性影响(P>0.05),但显著影响肉鸡的排泄物总能(P<0.05)。随着豆粕替代比例的增加,试验饲粮AME、AMEn、代谢能利用率显著降低(P<0.05)。(2)随着豆粕替代比例的增加,肉鸡粗蛋白质摄入量、粗蛋白质排泄量、尿酸排泄量以及沉积氮和可消化氮均显著升高(P<0.05)。(3)随着豆粕替代比例的增加,以单位蛋白摄入量为基础的尿酸排泄量(UAO/PI,g·g^(-1),%)和以单位可消化氮为基础的尿酸氮排泄量(UAN/DN,g·g^(-1),%)均显著升高(P<0.05)。随着豆粕替代比例的增加,豆粕表观代谢能(AME)和氮校正表观代谢能(AMEn)呈线性显著降低(P<0.05)。(4)单位蛋白摄2入量的尿酸排泄量(UAO/PI)和单位可消化氮的尿酸氮排泄量(UAN/DN)与豆粕AME(AMEn)均呈显著的负相关关系(R>0.90,P<0.05)。【结论】待测豆粕替代比例显著影响肉鸡氮代谢及其代谢能测定,尿酸排泄量与代谢能存在显著的负相关关系,尿酸氮可以作为优化家禽代谢能体系的指标。 展开更多
关键词 肉鸡 替代比例 尿酸排泄量 代谢能
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Ligation of Caeca Improves Nitrogen Utilization and Decreases Urinary Uric Acid Excretion in Chickens
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作者 Jang-Ho Son 《Journal of Agricultural Science and Technology(A)》 2012年第4期495-504,共10页
This study was carried out to clarify role of ceca in nitrogen nutrition of the chicken. Exp. 1: The effect of cecal ligation on nitrogen utilization and excretion was investigated in chickens fed 5% to 14% protein d... This study was carried out to clarify role of ceca in nitrogen nutrition of the chicken. Exp. 1: The effect of cecal ligation on nitrogen utilization and excretion was investigated in chickens fed 5% to 14% protein diet. Irrespective of dietary protein level and different protein sources, the ligation of cecal decreased uric acid excretion and tended to increase nitrogen utilization and balance with the exception of urea-added 10% protein diet. Exp. 2: The effect of cecal ligation on nitrogen utilization and excretion was investigated in conventional and colostomized chickens fed a 5% protein diet or 5% protein diet plus urea. Total nitrogen excretion and uric acid excretion increased by colostomy were depressed by cecal ligation in chickens. Therefore, nitrogen utilization and balance decreased by colostomy were increased by cecal ligation. Urinary nitrogen excretion was significantly decreased by cecal ligation in colostomized chickens, but the cecal ligation did not change fecal nitrogen excretion in chickens fed either diet. Exp. 3: This experiment was carried out to examine the effects of removal of cecal contents on nitrogen utilization, balance and nitrogen excretion in cecally ligated chickens. Total nitrogen excretion was significantly decreased by washing out the cecal contents with saline or antibiotics. The cecal ligation and the removal of cecal contents significantly decreased uric acid excretion in the excreta. There was a highly inverse relationship between microbial counts in the ceca and an excretory amount of uric acid. Exp. 4: In order to examine effects of cecal ligation on microbial activity, microbes were counted and products of microbial fermentation were determined. The ligation of caeca decreased microbial counts, concentrations of acetic, propionic and butyric acids and ammonia concentration of cecal contents. These results suggest that nitrogen metabolism in chickens is affected by possible changes in cecal fermentation caused by preventing the substances from urine and digesta from entering into the ceca. 展开更多
关键词 Cecal role in nitrogen nutrition cecal ligation COLOSTOMY uric acid excretion chicken.
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