引用本文:张 健,唐成和,李树军.血清半胱氨酸蛋白酶抑制剂C对新生儿窒息后肾功能的评价[J].中国临床新医学,2010,3(7):643-645.
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血清半胱氨酸蛋白酶抑制剂C对新生儿窒息后肾功能的评价
张 健,唐成和,李树军
453100 河南,新乡医学院第一附属医院小儿内一科
摘要:
[摘要] 目的 观察血清半胱氨酸蛋白酶抑制剂C((Cystatin C,简称Cys C)对新生儿窒息后肾滤过功能的影响。方法 应用酶联免疫吸附法(ELISA)对68例新生儿窒息(轻度40例,重度28例)及对照组28例新生儿血清中Cys C的水平以及血肌酐、尿素氮进行测定。采用SPSS11.0软件对数据进行统计学方差分析和t检验。结果 窒息组血Cys C较对照组显著增高。轻度窒息组血肌酐、尿素氮与对照组比较差异无统计学意义,但重度窒息组血肌酐、尿素氮与对照组比较差异有统计学意义。在新生儿窒息时Cys C水平升高,但随着病情的缓解,Cys C水平下降。结论 新生儿窒息后肾小球滤过功能会受损,血Cys C是评价肾小球滤过功能敏感的检测指标。
关键词:  窒息  新生儿  半胱氨酸蛋白酶抑制剂C  血清  肾小球滤过功能
DOI:10.3969/j.issn.1674-3806.2010.07.16
分类号:R 753
基金项目:
Effect of serum cystatin C in assessment of renal function in neonates with asphyxia
ZHANG Jian, TANG Cheng-he, LI Shu-jun
The First Afflicated Hospital of Xinxiang Medical College,Henan 453100,China
Abstract:
[Abstract] Objective To explore the changes of serum cystatin C in neonate with asphyxia,and evaluate its effect on function of glomerular filtration.Methods Serum cystatin C,blood urea nitrogen(BUN) and creatinine(Cr) of neonates in asphyxia group and of neonates in the control group were measured by enzyme-linked immunosorbent assay (ELISA).Results Cystatin C obviously inreased in neonates with asphyxia,compared with control group. There were no significant difference in serum BUN and Cr levels between the mild asphyxia group and the control group. Levels of serum cystatin C was incrased in severe asphyxia.Serum CysC levels in the asphyxia group were significantly higher than those in the control group(P<0.01).After the treatment, levels of serum cystatin C decreased.Conclusion Serum Cys C can be considered as a marker of damage function of glomerular filtration in neonates with asphyxia.
Key words:  Asphyxia  Neonates  Cystatin C  Serum  Glomerular filtration