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1. 苏州大学附属第一医院核医学科
2. 苏州大学附属第一医院核医学科,苏州,215006
Published:01 January 2004
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[1]苏成海,李清茹,江一民.血透患者血清骨钙素、降钙素、甲状旁腺素、骨密度及β_2-微球蛋白的临床研究[J].核技术,2004(01):66-69.
SU Chenghai LI Qingru JIANG Yimin. Clinical study of BGP, CT, PTH-M and β2-MG in serum and BMD for patients with CRF ante- and post-hemodialysis[J]. Nuclear techniques, 2004, (1): 66-69.
目的:探讨血透患者血清骨钙素(BGP)、降钙素(CT)、甲状旁腺素(PTH-M)、骨密度(BMD)及β2-微球蛋白(β2-MG)等的变化规律及其相互关系的临床价值。方法:用放射免疫(RIA)法测定40例慢性肾衰(CRF)血透患者透析前、后BGP、CT、PTH-M、及β2-MG等在血清中的变化
分析其间及其与部分生化指标之间的关系。其中测定了部分患者的BMD。结果:血透患者透析前BGP、CT、PTH-M及β2-MG均较对照组显著升高
透析后均较透析前显著降低;β2-MG与BGP、CT分别呈显著性正相关。19例血透患者BMD较对照组显著降低。结论:测定血清中BGP、CT、PTH-M及β2-MG等浓度及BMD
对于了解血透患者病情、疗效及估计预后等有一定临床价值。
Objective: To explore the clinical value in the variation law and the relationships among BGP
CT
PTH-M and β2-MG in serum of 40 patients with CRF ante- and post-haemodialysis and BMD of them. Methods: The relationships among BGP
CT
PTH-M
β2-MG
AKP
BUN and Cr were analysed by testing their levels in serum of CRF patients with RIA; BMD of the lumbar spine in 19 of 40 patients with CRF was measured by dual-energy X-ray absorptiometry(DEXA). Results: The levels of BGP
CT
PTH-M
β2-MG
AKP
BUN and Cr in serum of patients with CRF were higher than that of the controls. And that of patients with CRF in post-hemodialysis was very lower than that of those in ante-hemodialysis .The level of β2-MG in serum of patients with CRF was positively correlated with that of BGP and CT respectively. BMD of 19/40 patients with CRF were higher than that of the controls. Conclusion: There is a significant clinical value in testing β2-MG
BGP
PTH-M and CT concentrations in serum for analysing patient’s condition
assessing the treatment effect and estimating prognosis of patients with CRF.
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