NGAL和C反应蛋白预测急性胰腺炎患者急性肾损伤价值.docVIP

NGAL和C反应蛋白预测急性胰腺炎患者急性肾损伤价值.doc

  1. 1、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。。
  2. 2、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载
  3. 3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
  4. 4、该文档为VIP文档,如果想要下载,成为VIP会员后,下载免费。
  5. 5、成为VIP后,下载本文档将扣除1次下载权益。下载后,不支持退款、换文档。如有疑问请联系我们
  6. 6、成为VIP后,您将拥有八大权益,权益包括:VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
  7. 7、VIP文档为合作方或网友上传,每下载1次, 网站将根据用户上传文档的质量评分、类型等,对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档
查看更多
NGAL和C反应蛋白预测急性胰腺炎患者急性肾损伤价值

NGAL和C反应蛋白预测急性胰腺炎患者急性肾损伤价值   [摘要] 目的 ?u估中性粒细胞明胶酶相关脂质运载蛋白(NGAL)和C反应蛋白(CRP)对急性胰腺炎(AP)患者发生急性肾损伤(AKI)的预测价值,为AKI早期诊断提供有价值的参考。 方法 选取深圳市第六人民医院2013年1月~ 2015年12月住院的新发AP患者125例,分为轻型AP组(MAP组)、重型AP组(SAP组),依据是否发生AKI又分为AKI亚组和非AKI亚组,采用ELISA法测定尿NGAL水平及绘制受试者工作曲线反应比较CRP 预测AKI 的价值。 结果 所有MAP患者均无AKI发生,47例SAP患者中有30例发生AKI(占63.8%);入院后2h内测MAP组及SAP组患者尿NGAL水平相近,差异无统计学意义(P0.05)。此后尿NGAL逐渐升高,峰值出现在入院后12h,且SAP组AKI亚组NGAL明显高于非AKI亚组和MAP 组,差异有统计学意义(PCRP,差异有统计学意义(P0.05)。 结论 NGAL对SAP患者并发AKI具有早期诊断价值,早期诊断价值高于CRP。   [关键词] 急性胰腺炎;急性肾损伤;C反应蛋白;中性粒细胞明胶酶相关脂质运载蛋白   [中图分类号] R576 [文献标识码] A [文章编号] 2095-0616(2017)07-165-04   Prognostic value of NGAL and C reactive protein in acute pancreatitis patients with acute kidney injury   WANG Fuyu CHENG Xinsheng ZHENG Yongbin MIAO Dingding GAO Jinting   Department of Hepatobiliary Surgery, Shenzhen Sixth Peoples Hospital, Guangdong, Shenzhen 518052, China   [Abstract] Objective To evaluate the prognostic value of neutrophil gelatinase-associated lipocalin (NGAL) and C reactive protein (CRP) in acute pancreatitis patients with acute kidney injury (AKI), and to provide valuable reference for early diagnosis of AKI. Methods 125 cases of newly diagnosed AP patients hospitalized in Shenzhen Sixth Peoples Hospital from January 2013 to December 2015 were selected and divided into light AP group (group MAP) and severe AP group (group SAP). According to whether the occurrence of AKI, they were also divided into AKI subgroup and non AKI subgroup. ELISA was used to determine urinary NGAL level and draw the receiver operating curve. The value of CRP in predicting AKI was compared. Results No AKI occurred in all MAP patients. Among the 47 cases of SAP patients, there were 30 patients with AKI (accounting for 63.8%). Within 2h after admission, the level of NGAL in urine of group MAP and group SAP were similar, and there was no significant difference (P0.05). The urine NGAL increased gradually, and the peak value appeared at 12h after admission. NGAL in AKI subgroup of SAP was signif

文档评论(0)

3471161553 + 关注
实名认证
文档贡献者

该用户很懒,什么也没介绍

1亿VIP精品文档

相关文档