牛牛游戏厅安卓,{原始关键词}

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                          • 当前位置: 代写一篇论文多少钱 > 医学论文 > 糖尿病血液透析患者应用糖化血清白蛋白检测的价值

                            糖尿病血液透析患者应用糖化血清白蛋白检测的价值

                            时间:2020-04-18 10:34作者:王晓一 高歌 朱丽萍
                            本文导读:这是一篇关于糖尿病血液透析患者应用糖化血清白蛋白检测的价值的文章,由于接受血糖透析糖尿病肾病患者而言,因体内长期促红细胞生成素生成不足,有一定程度贫血,导致糖化血红蛋白水平偏低,而临床为了及时纠正贫血情况,多采取重组人红细胞生成素和铁剂治疗,但国外研究发现,重组人红

                              摘    要: 选取2017年8月~2018年7月行血液透析治疗的80例糖尿病患者作为研究组,同期未透析作为对照组。结果研究组患者糖化血清白蛋白水平明显高于对照组(P <0. 05);研究组骨调素(OPN)、五聚素3(PTX3)、尿素清除指数(Kt/V)、全段甲状旁腺激素(iPTH)和β2微球蛋白(β2-MG)等含量明显低于对照组(P <0. 05);经一元回归分析发现,糖尿病血液透析患者糖化血清白蛋白与OPN、PTX3、Kt/V、iPTH和β2-MG等具有正相关性。结论 糖化血清白蛋白含量可作为评估糖尿病血液透析患者透析有效性的直观指标,可为疾病治疗提供参考经验。

                              关键词: 糖化血清白蛋白; 血液透析; 临床意义;

                            牛牛游戏厅安卓,{原始关键词}   BENYANJIUTANTAOTANGHUAXUEQINGBAIDANBAIJIANCEZAITANGNIAOBINGXUEYETOUXIHUANZHEZHONGDELINCHUANGJIAZHI,JINYIBUWEITANGNIAOBINGXUEYETOUXIHUANZHEZHILIAOTIGONGCANKAOYIJIAN,XIANZONGJIERUXIA:

                              1、 资料和方法

                              1)XUANQU2017NIAN8YUE~2018NIAN7YUEXINGXUEYETOUXIZHILIAODE80LITANGNIAOBINGHUANZHE,NAN43LI,NV37LI,NIANLING(44~78)(62.2±6.3)SUI,TANGNIAOBINGBINGCHENGWEI(2~13)(5.8±2.7)NIAN;TONGQIWEITOUXIHUANZHEZUOWEIDUIZHAOZU,NAN40LI,NV40LI,NIANLING(42~79)(62.0±6.5)SUI,TANGNIAOBINGBINGCHENGWEI(1~11)(5.6±2.9)NIAN。2)YANJIUZUZAIXUEYETOUXIHOUCHOUQU2mlWAIZHOUJINGMAIXUE,DUIZHAOZUHUANZHEZAICHENQIKONGFUZHUANGTAIXIACHOUQU2mlWAIZHOUJINGMAIXUE,LIXINHOUBAOLIUSHANGQINGYEYUBINGXIANG(-80℃)NEIBEIJIAN。CAIYONGMEIFAJIANCESHIJIHETONGGUOQUANZIDONGSHENGHUAFENXIYI(AOLINBASIAU2700)DUIHUANZHETANGHUAXUEQINGBAIDANBAISHUIPINGJINXINGJIANCE。CAIYONGMEILIANMIANYIFADUIHUANZHEOPN、PTX3、Kt/V、i PTHHEβ2-M GDENGDUSUHEDAIXIECHANWUPAIXIEZHIBIAOJINXINGCEDING。

                              统计学处理采用SPSS 19.0进行处理,组间比较使用t和χ2处理,P<0.05表示差异具有统计学意义。
                             

                            糖尿病血液透析患者应用糖化血清白蛋白检测的价值
                             

                              2 、结果

                              1)YANJIUZUHUANZHETANGHUAXUEQINGBAIDANBAISHUIPINGWEI(30.7±5.9)%,DUIZHAOZU(29.3±3.6)%,(t=1.812,P=0.036)。2)YANJIUZUHUANZHEOPN、PTX3、Kt/V、i PTHHEβ2-MGDENGHANLIANGMINGXIANDIYUDUIZHAOZU(P<0.05),XIANGJIANBIAO1。3)JINGYIYUANHUIGUIFENXIFAXIAN,TANGNIAOBINGXUEYETOUXIHUANZHETANGHUAXUEQINGBAIDANBAIYUOPN、PTX3、Kt/V、i PTHHEβ2-M GDENGJUYOUZHENGXIANGGUANXING。

                              表1 患者毒素和代谢产物排泄指标比较
                            表1 患者毒素和代谢产物排泄指标比较

                            牛牛游戏厅安卓,{原始关键词}   YUDUIZHAOZUBIJIAO,#P<0.05CHAYIJUYOUTONGJIXUEYIYI

                              3 、讨论

                            牛牛游戏厅安卓,{原始关键词}   WENXIANBAODAO,YOUYUJIESHOUXUETANGTOUXITANGNIAOBINGSHENBINGHUANZHEERYAN,YINTINEIZHANGQICUHONGXIBAOSHENGCHENGSUSHENGCHENGBUZU,YOUYIDINGCHENGDUPINXUE,DAOZHITANGHUAXUEHONGDANBAISHUIPINGPIANDI,ERLINCHUANGWEILEJISHIJIUZHENGPINXUEQINGKUANG,DUOCAIQUZHONGZURENHONGXIBAOSHENGCHENGSUHETIEJIZHILIAO,DANGUOWAIYANJIUFAXIAN,ZHONGZURENHONGXIBAOSHENGCHENGSUNENGYINQITANGHUAXUEHONGBAIDANBAISHUIPINGJIANGDI[1]。TANGHUAXUEQINGBAIDANBAISHIPUTAOTANGYUXUEQINGBAIDANBAIFASHENGFEIMEICUFANYINGSHENGCHENGDECHANWU,BAIDANBAIYINBANSHUAIQIWEI(17~19)d,YINCIQIJINNENGFANYING(2~3)ZHOUDEXUETANGSHUIPING,SHILINCHUANGPANDUANXUETANGDUANQIKONGZHIQINGKUANGDEYOUXIAOZHIBIAO[2]。BENYANJIUJIEGUOXIANSHI,TANGHUAXUEQINGBAIDANBAISHUIPINGJUNMINGXIANGAOYUDUIZHAOZU(P<0.05),YANJIUZUOPN、PTX3、Kt/V、i PTHHEβ2-M GDENGHANLIANGMINGXIANGAOYUDUIZHAOZU(P<0.05),BENYANJIUJIEGUOYULEILILI[3]HESONGMINGAIDENG[4]YANJIUBAODAOXIANGYIZHI。TANGHUAXUEQINGBAIDANBAIHANLIANGKEZUOWEIPINGGUTANGNIAOBINGXUEYETOUXIHUANZHETOUXIYOUXIAOXINGDEZHIGUANZHIBIAO,KEWEIJIBINGZHILIAOTIGONGCANKAOJINGYAN。

                              参考文献

                              [1] .王攀,黄扬扬,伍学琪.血磷和血清白蛋白水平及波动与维持性血液透析患者预后的关系.中国冶金工业医学杂志2017(3):313-315.
                              [2] .王攀,黄扬扬,伍学琪.血磷和血清白蛋白水平及波动与维持性血液透析患者预后的关系.中国冶金工业医学杂志2017;34(3):313-315.
                              [3] .张红雨,王林春,刘春明,等.化学发光酶免疫分析与电化学发光免疫分析检测CA19-9结果的一致性比较.南昌大学学报(医学版)2014(11):19-20,23.
                              [4] .宋明爱,王璐.糖尿病肾病血液透析患者血清氨甲酰血红蛋白、糖化血红蛋白含量检测及其临床价值评估.海南医学院学报2016;22(12):1296-1299.

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