肾衰竭患者的血尿素氮 (BUN) 水平:揭示蛋白质代谢与肾脏健康之间复杂的相互作用。

Rashad Mahmood, Misbah Batool, Najma Majeed, Zara Shoukat, Ahmad Munir Qureshi, Muhammad Shoaib
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摘要

研究目的评估肾功能衰竭患者的血清钙、肌酐肌肉功能指标,并分析作为蛋白质代谢指标的 BUN。研究设计:横断面研究。研究地点比姆伯克什米尔萨马尼区。时间:2020 年 4 月至 2020 年 7 月2020 年 4 月至 2020 年 7 月。材料与方法在 THQ 医院登记透析的 90 名受试者(包括 60 名肾衰竭患者和 30 名健康人)按年龄和性别进行了分类。在征得每位患者的书面同意后采集血样,并使用自动分析仪分析血清钙、血清肌酐和尿素氮。根据年龄和性别将 90 名受试者分为几组。采集血样并使用自动分析仪进行血清钙、血清肌酐和血尿素氮检测,以评估肾功能和钙平衡。结果显示与健康组相比,所有肾衰竭组的血清肌酐水平都明显升高,表明肾功能受损。然而,各组的血清钙水平相对稳定。值得注意的是,除 1-40 岁女性外,所有肾功能衰竭组的尿素氮水平均明显升高。结论肾功能衰竭表现为血清肌酐升高,突出表现为肾功能障碍,而血清钙的稳定性可能并不代表肾功能衰竭。BUN 水平升高意味着蛋白质代谢紊乱,凸显了这些生物标志物在肾脏健康中的复杂作用,有必要完善肾脏疾病的诊断和治疗策略。
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Blood Urea Nitrogen (BUN) levels in renal failure: Unraveling the complex interplay of protein metabolism and kidney health.
Objectives: To evaluate serum calcium, assess creatinine's muscle function marker, and analyze BUN as a protein metabolism indicator in renal failure. Study Design: Cross-sectional study. Setting: Tehsil Samahni District Bhimber Kashmir. Period: April 2020 to July 2020. Material & Methods: A total of 90 subjects, including 60 with renal failure and 30 healthy individuals from Tehsil Samahni District Bhimber Kashmir registered with THQ hospital for dialysis, were categorized by age and gender. Blood samples were collected after the written consent of each patient and analyzed for serum calcium, serum creatinine, and BUN using an automated analyzer. Ninety subjects were divided into groups based on age and gender. Blood samples were collected and subjected to serum calcium, serum creatinine, and BUN assays using an automated analyzer to evaluate renal function and calcium homeostasis. Results: Serum creatinine levels were significantly elevated in all renal failure groups compared to the healthy group, indicating impaired renal function. However, serum calcium levels remained relatively stable across all groups. Notably, BUN levels were significantly higher in all renal failure groups except for females aged 1-40 years. Conclusion: Renal failure is indicated by elevated serum creatinine, highlighting kidney dysfunction, while serum calcium stability may not be indicative of renal failure. Elevated BUN levels imply disrupted protein metabolism, underlining the complex role of these biomarkers in renal health, and necessitating refinement of diagnostic and therapeutic strategies for renal diseases.
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