[1]牛志立,张平安.乙肝并发肾病患者肝肾功能及血脂和补体指标的相关性研究[J].现代检验医学杂志,2017,32(03):105-108.[doi:10.3969/j.issn.1671-7414.2017.03.028]
 NIU Zhi-li,ZHANG Ping-an.Study on the Levels of Liver and Kidney Function,Blood Lipid andComplement in Patients with Hepatitis B Complicated with Nephropathy[J].Journal of Modern Laboratory Medicine,2017,32(03):105-108.[doi:10.3969/j.issn.1671-7414.2017.03.028]
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乙肝并发肾病患者肝肾功能及血脂和补体指标的相关性研究()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第32卷
期数:
2017年03期
页码:
105-108
栏目:
论著
出版日期:
2017-05-25

文章信息/Info

Title:
Study on the Levels of Liver and Kidney Function,Blood Lipid and Complement in Patients with Hepatitis B Complicated with Nephropathy
文章编号:
1671- 7414(2017)03-105-04
作者:
牛志立张平安
武汉大学人民医院检验科,武汉 430 060
Author(s):
NIU Zhi-liZHANG Ping-an
Department of Laboratory Science,Renmin Hospital of Wuhan Unive rsity,Wuhan 430060,China
关键词:
目的 探讨乙肝并发肾病患者血清肝肾功能、血脂、补体指 标的变化以及HBV感染与肾脏功能的关系。方法 选择2015年1月~20 16年7月武汉大学人民医院肾病内科住院的乙肝并发肾病患者141例其中男性96例女性45 例。单纯肾病患者65例其中男性31例女性34例。健康对照人群共68例其中男性36例 女性32例。肝肾功能和血脂指标由Siemens ADVIA 2400全自动生化仪测定补体C3和C4由Be ckman IMMAGE800全自动免疫分析仪测定。HBV DNA载量由Roche Ligh
分类号:
R512.62;R446.11
DOI:
10.3969/j.issn.1671-7414.2017.03.028
文献标志码:
A
摘要:
目的 探讨乙肝并发肾病患者血清肝肾功能、血脂、补体指 标的变化以及HBV感染与肾脏功能的关系。方法 选择2015年1月~20 16年7月武汉大学人民医院肾病内科住院的乙肝并发肾病患者141例,其中男性96例,女性45 例。单纯肾病患者65例,其中男性31例,女性34例。健康对照人群共68例,其中男性36例, 女性32例。肝肾功能和血脂指标由Siemens ADVIA 2400全自动生化仪测定,补体C3和C4由Be ckman IMMAGE800全自动免疫分析仪测定。HBV DNA载量由Roche LightCycler○〖KG-*7 /8〗R480荧光定量PCR仪测定。结果 肝肾指标ALT,Cr,UA,Urea 和β2-M,血脂指标LDL,TCh和TG,补体C3和C4在乙肝并发肾病组,单纯肾病组和健康对照 组间比较,差异具有统计学意义(FALT=6.50,FCr=46.02,F UA=32.89,FUrea=37.60,Fβ2-M=44.98,FLDL =4.13,FTCh=5.20,FTG=26.90,FC3=14.54,F C4=11.01;均P<0.05)。肝肾功能指标ALT,AST和β2-M,补体C3和C4在乙 肝活动期并发肾病,非乙肝活动期并发肾病和单纯肾病组间比较,差异均具有统计学意义( FALT=5.96,FAST=7.45,Fβ2-M=18.70,FC 3=5.32,FC4=4.16;均P<0.05)。结论 肝肾功 能、血脂和补体浓度异常与乙肝并发肾病具有一定的关系,并且HBV感染影响肾病患者血清 β2-M和补体浓度。
Abstract:
Objective To explore serum liver and kidney fun ction, blood lipid,complement indicators in patients with hepatitis B-associ ated nephropathy and the relationship between HBV infection and kidney function .Methods 141 cases with hepatitis B-associated nephropa thy were randomly selected from January 2015 to July 2016 from Renmin Hospital of Wuhan University including 96 male,female 45 cases.65 cases with nephropath y included 31 male,female 34 cases.68 cases with healthy people included 36 ma le and female 32 cases.Liver and kidney function parameters were detected by th e automatic biochemical analyzer Siemens ADVIA 2400.Complement C3 and C4 were d etected by the automated immunoassay analyzer Beckman IMMAGE 800.HBV DNA load w as detected by fluorescence quantitative PCR instrument ROCHE LightCycler○ 〖KG-*7/8〗R480.Results ALT,Cr,UA,Urea,β2-M,LDL ,TCh ,TG,C3 and C4 were significant difference among hepatitis B complicated with n ephropathy,nephropathy group and healthy groups (FALT=6.50,F Cr=46.02,FUA=32.89,FUrea=37.60,Fβ2-M=4 4.98,FLDL=4.13,FTCh=5.20,FTG=26.90,F C3=14.54,FC4=11.01,all P<0.05).ALT,AST,β2-M,C3 and C4 were significant difference among hepatitis B activity period complicated wit h nephropathy,hepatitis B non-activity period complicated with nephropathy and nephropathy group (FALT=5.96,FAST=7.45,Fβ2-M =18.70,FC3=5.32,FC4=4.16;all P<0.05).〖WT5”HZ 〗Conclusion Concentrations of liver and kidney function,blood lipi d abnormalities and complement had a certain relationship with the hepatitis B complicated with nephropathy and HBV had a certain effect on serum concentration s of β2-M and complement.

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备注/Memo

备注/Memo:

作者简介:牛志立(1989-),男,技师,专业:临床免疫学研究,E-mail:10601 28042@qq.com。
通讯作者:张平安,副教授,E-mail:zhangpingan927@163.co m。
更新日期/Last Update: 2017-06-25