慢性肾衰竭患者血清肌酐、尿素氮和尿酸水平的临床意义

Wendong Lin
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摘要

慢性肾功能衰竭(CRF)是由各种原因引起的慢性进行性肾实质损害,导致肾脏明显萎缩,无法维持基本功能为特征的临床综合征。代谢产物潴留,水、电解质和酸碱平衡失调,全身各系统受累是其主要临床表现。由于其复杂的代谢紊乱,一旦发展到肾功能衰竭甚至尿毒症晚期,往往会增加其他肾脏疾病的治疗难度。因此,慢性肾衰竭的早期发现、早期诊断和早期治疗对提高患者的治疗效果具有重要意义。本项目将 150 名受试者分为慢性肾衰竭组(75 例)和健康组(75 例)。通过分析慢性肾功能衰竭患者和健康对照组的肾功能指标(血肌酐、尿素氮、尿酸)数据,探讨血肌酐、尿素氮、尿酸水平检测对慢性肾功能衰竭的临床意义,阐述血肌酐、尿素氮、尿酸监测对慢性肾功能衰竭的重要性,为及时预防或延缓慢性肾功能衰竭提供科学依据。对慢性肾功能衰竭合并健康组的150份血清样本进行生化检测,统计两组尿酸、尿素氮和血清肌酐的检测值,并用统计学方法处理。结果显示,慢性肾功能衰竭组尿素氮、尿酸和血清肌酐的检测值明显高于健康组,两组相同指标比较,P<0.05,统计学表明两组相同数据差异有学意义。血清尿酸、尿素氮和肌酐的检测比较容易,检测结果也相对准确。其结果可用于慢性肾功能衰竭患者的辅助诊断,对慢性肾功能衰竭患者的诊断具有临床意义。
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Clinical Significance of Serum Creatinine, Urea Nitrogen and Uric Acid Levels in Patients with Chronic Renal Failure
Chronic renal failure (CRF) is a clinical syndrome characterized by chronic progressive renal parenchymal damage caused by various reasons, resulting in obvious atrophy of the kidney and inability to maintain basic functions. Metabolite retention, imbalance of water, electrolyte and acid-base balance, and systemic involvement of various systems are the main manifestations in clinic. Due to its complicated metabolic disorder, once it develops to the stage of renal failure or even the end stage of uremia, it is often more difficult to treat other renal diseases. Therefore, early detection, early diagnosis and early treatment of chronic renal failure are of great significance to improve the therapeutic effect of patients. In this project, 150 subjects were divided into chronic renal failure group (75 cases) and healthy group (75 cases). By analyzing the data of renal function indexes (blood creatinine, urea nitrogen, uric acid) of patients with chronic renal failure and healthy control group, the clinical significance of blood creatinine, urea nitrogen and uric acid level detection for chronic renal failure was discussed, and the importance of blood creatinine, urea nitrogen and uric acid monitoring for chronic renal failure was explained, providing scientific basis for timely prevention or delay of chronic renal failure. Biochemical tests were carried out on 150 serum samples from the combined healthy group of chronic renal failure. the values of uric acid, urea nitrogen and serum creatinine detected by the two groups were counted and treated with statistical methods. the results showed that the values of urea nitrogen, uric acid and serum creatinine in the chronic renal failure group were significantly higher than those in the healthy group, and the same indexes in the two groups were compared, P<0.05. statistics showed that the difference of the same data between the two groups was significant. Serum uric acid, urea nitrogen and creatinine are easy to detect and the test results are relatively accurate. The results can be used for auxiliary diagnosis of patients with chronic renal failure and have clinical significance for diagnosis of patients with chronic renal failure.
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