文章摘要
李莉 宋月霞 肖四海 李颖 刘景平 许涛 汪年松.糖尿病肾病患者NT-proBNP,Hcy和cTnI的水平变化及其临床意义[J].,2014,14(33):6532-6534
糖尿病肾病患者NT-proBNP,Hcy和cTnI的水平变化及其临床意义
Level Changes of NT-proBNP, Hcy and cTnI of Patients with DiabeticNephropathy and its Clinical Significance
  
DOI:
中文关键词: NT-proBNP  Hcy  cTnI  糖尿病肾病  心血管疾病
英文关键词: NT-proBNP  Hcy  CTnI  Diabetic nephropathy  Cardiovascular disease
基金项目:唐山市科学技术研究与发展计划(12150220B-5);国家自然科学基金面上项目(81270824)
作者单位
李莉 宋月霞 肖四海 李颖 刘景平 许涛 汪年松 唐山市人民医院内科上海交通大学附属第六人民医院肾内科 
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中文摘要:
      目的:观察糖尿病肾病患者血清NT-proBNP,Hcy和cTnI的水平变化情况,分析其与心血管疾病发生的关系,为临床提供指 导依据。方法:选择我院2012 年3 月至2013 年9 月收治的152例糖尿病肾病患者,根据合并心血管疾病的情况,将所选患者分 为并发症组(83 例)和无并发症组(69 例),另选择同期在我院接受健康体检的志愿者(72 例)作为对照组。检测三组对象血清中 NT-proBNP,Hcy与cTnI的水平,以及糖尿病肾病患者的肾功能指标。结果:对照组NT-proBNP,Hcy 与cTnI 水平显著低于其他 两组,并发症组患者NT-proBNP,Hcy与cTnI水平高于无并发症组,差异有统计学意义(P<0.05)。并发症组患者的BUN,UA 及 CysC 水平显著高于无并发症组,差异有统计学意义(P<0.05)。结论:NT-proBNP,Hcy和cTnI在合并心血管疾病的糖尿病肾病患 者血清中显著升高,并在一定程度上影响患者的肾功能。
英文摘要:
      Objective:To observe the relationship between changes of NT-proBNP, Hcy and cTnI levels and cardiovascular disease in diabetic nephropathy (DN) patients, and to provide guidance for clinic.Methods:152 cases of DN patients were divided into complications group (83 cases) and no complication group (69 cases) from March 2012 to September 2013 according to the presence of cardiovascular disease. Meanwhile, 72 cases of healthy patients were chosen as the control group. NT-proBNP, Hcy and cTnI levels were detected of all the patients, so as the renal function indexes in DN patients.Results:NT-proBNP, Hcy and cTnI levels of the control group were lower than that of the other two groups, and higher in complications group than in no complications group with statistical significance (P<0.05). BUN, UA and CysC levels in the complications group were higher than in no complication group in DN patients, and the difference was statistically significant (P<0.05).Conclusion:NT-proBNP, Hcy and cTnI levels increased significantly in DN patients combined with cardiovascular disease which can affect renal function.
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