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原发性高血压患者血尿酸、血胱抑素C和肌酐值的观察
引用本文:张洪波.原发性高血压患者血尿酸、血胱抑素C和肌酐值的观察[J].江汉大学学报(自然科学版),2012(1):98-100.
作者姓名:张洪波
作者单位:江汉大学附属医院检验科,湖北武汉430015
摘    要:目的:观察原发性高血压(EH)患者血尿酸(UA)、血胱抑素C(Cys C)和肌酐(Cr)值,探讨其临床意义。方法:血尿酸和肌酐用酶法在全自动生化分析仪上测定,血胱抑素用比浊法在特定蛋白仪上测定。结果:200例EH患者伴发高尿酸血症(HUA)88例,其Cys C值(1.12±0.14)mg/L和Cr值(141.5±93.5)μmol/L明显高于非HUA者(P<0.05);随着年龄的增长和高血压分期的增加而明显升高,但Cr升高率明显后于Cys C的升高率和HUA的发生率(P<0.05)。结论:EH患者Cys C、Cr与HUA关系密切;UA、Cys C升高在Cr之前;UA是EH患者肾损害的早期表现。

关 键 词:原发性高血压  尿酸  肌酐  胱抑素C

A Survey of Serum Uric Acid,Cystatin C and Creatinine Levels in Essential Hypertension
ZHANG Hong-bo.A Survey of Serum Uric Acid,Cystatin C and Creatinine Levels in Essential Hypertension[J].Journal of Jianghan University:Natural Sciences,2012(1):98-100.
Authors:ZHANG Hong-bo
Institution:ZHANG Hong-bo(Department of Clinical Laboratory,Affiliated Hospital,Jianghan University,Wuhan 430015,Hubei,China)
Abstract:Objective: To survey serum uric acid(UA),cystatin C(Cys C) and creatinine(Cr) levels in patients with essential hypertension(EH),and study its clinical significance.Methods: UA and Cr were measured by enzymatic method with automatic biochemistry analyzer,Cys C was measured by nephelometry with specific protein aparatus.Results: 88 cases were accompanied with hyperuricemia(HUA) in 200 patients with EH.Their mean Cys C value(1.12±0.14) mg/L and mean Cr value(141.5±93.5) μmol/L were higher than those in the patients without HUA significantly(P0.05),and increased with the growth of age and stages of hypertension.However,the rising rate of Cr value was lower than Cys C and HUA incidence(P0.05).Conclusion: Cys C and Cr values have close relation with HUA in patients with EH.UA and Cys C values rise before Cr value.UA is an early manifestation of impairment of renal function in patients with EH.
Keywords:essential hypertension  uric acid  creatinine  cystatin C
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