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西南医科大学附属医院超声诊断科
纸质出版日期:2020,
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[1]侯超,李明星.肾血流参数结合CysC评价子痫前期患者肾损伤的临床意义[J].西南医科大学学报,2020,43(01):44-46.
HOU Chao, LI Mingxing. Clinical significance of renal blood flow parameters combined with cystatin C in evaluating renal injury in patients with preeclampsia[J]. Journal of Southwest Medical University, 2020,43(1):44-46.
目的:探讨肾动脉血流参数结合CysC评估子痫前期患者肾功能损伤的临床意义。方法:选取2016年1月至2017年1月在我院产科住院并分娩的轻度子痫前期患者30例(A组)
慢性高血压合并子痫前期患者30例(B组)
重度子痫前期患者30例(C组)
健康妊娠妇女30例为对照组(D组)。所有研究对象测量肾叶间动脉收缩期峰值流速(PSV)、舒张末期流速(EDV)、加速时间(AT)、加速度(SA)等血流参数
同时进行UA、CysC等生化指标检测
分析肾血流参数与生化指标的相关性。结果:A、B、C组PSV、EDV、SA均低于D组
AT高于D组(P <0.05);B、C组PSV、EDV、SA低于A组
AT高于A组(P <0.05)。B、C组UA、CysC高于D、A组(均P <0.05)
A组CysC较D组高(P <0.05)。UA、CysC分别与PSV、EDV、SA呈负相关
与AT呈正相关(P <0.05)
CysC与肾血流参数的相关性高于UA。结论:结合肾动脉血流参数及CysC对评估子痫前期患者的肾功能具有一定临床价值。
Objective:To investigate the clinical significance of renal arterial blood flow parameters combined with cystatin C(CysC) in evaluating renal injury in patients with preeclampsia. Methods:A total of 30 patients with mild preeclampsia
30 patients with chronic hypertension and preeclampsia
and 30 patients with severe preeclampsia
who were hospitalized and gave birth in Department of Obstetrics in our hospital from January 2016 to January2017
were enrolled as groups A
B
and C
respectively
and 30 healthy pregnant women were enrolled as control group(group D). Related blood flow parameters of the renal interlobar arteries were measured for all subjects
including peak systolic velocity(PSV)
end-diastolic velocity(EDV)
acceleration time(AT)
and systolic acceleration(SA)
and the biochemical parameters including uric acid(UA) and CysC were measured. The correlation between renal blood flow parameters and biochemical parameters was analyzed. Results:Compared with group D
groups A
B
and C had significantly lower PSV
EDV
and SA and a significantly higher AT(P < 0.05)
and compared with group A
groups B and C had significantly lower PSV
EDV
and SA and a significantly higher AT(P < 0.05). Groups B and C had significantly higher UA and CysC than groups D and A(all P < 0.05)
and group A had a significantly higher level of CysC than group D(P < 0.05). UA and CysC were negatively correlated with PSV
EDV
and SA and were positively correlated with AT(P < 0.05). Compared with UA
CysC had higher correlation with renal blood flow parameters. Conclusion:Renal arterial blood flow parameters combined with CysC have a certain clinical value in evaluating renal function in patients with preeclampsia.
肾血流参数CysC子痫前期
Renal blood flow parameterCystatin CPreeclampsia
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