文章摘要
过敏性紫癜患儿早期肾损伤生物标志物特征分析
Feature analysis of biomarkers of anaphylactoid purpura associated renal injury in children
投稿时间:2016-12-30  
DOI:10.3969/j.issn.1000-0399.2017.06.013
中文关键词: 儿童  过敏性紫癜  紫癜性肾炎  肾损伤  生物标志物
英文关键词: Children  Anaphylactoid purpura  Purpura nephritis  Renal injury  Biomarker
基金项目:
作者单位E-mail
刘红娟 230051 合肥 安徽省儿童医院医学检验中心  
刘海鹏 230051 合肥 安徽省儿童医院医学检验中心 itishaipeng@yeah.net 
张晨宇 230051 合肥 安徽省儿童医院医学检验中心  
朱丽娟 230051 合肥 安徽省儿童医院医学检验中心  
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中文摘要:
      目的 分析过敏性紫癜患儿早期肾损伤相关生物标志物的临床特征,为临床诊治提供依据。方法 选择2015~2016年安徽省儿童医院收治的149例过敏性紫癜患儿,根据是否并发肾损害分为过敏性紫癜组(76例)和紫癜性肾炎组(73例),分析两组患儿血清IgM、IgG、IgA和尿液β-N-乙酰氨基葡萄糖苷酶(NAG)、IgG、视黄醇结合蛋白(RBP)等指标的差异特征。结果 过敏性紫癜组患儿血清IgG阳性率(28.95%)、IgA阳性率(80.26%)高于紫癜性肾炎组,差异有统计学意义(P<0.05);紫癜性肾炎组患儿尿液NAG、IgG、转铁蛋白(TRF)、微量白蛋白(MA)水平高于过敏性紫癜组,差异有统计学意义(P<0.05)。结论 血清IgA、IgG水平升高是过敏性紫癜发生风险的生物标志物,尿液NAG、IgG、TRF、MA水平差异对判断患儿早期肾损伤具有更明确的价值。
英文摘要:
      Objective To analyze and compare serum and urine parameters in children of Henoch-Schnolein purpura (HSP) with or without renal involvement, thus facilitating clinical diagnosis and treatment of purpura related renal injury. Methods Serum IgM, IgG and IgA, as well as urine NAG, IgG, TFR, MA, RBP and β2-MG from the two groups of HSP children were collected and analyzed in order to find out the changes of these indices during the progression of the disease. Results Compared with the purpura nephritis children,positive incidences of serum IgG(28.95%) and IgA(80.26%)were significantly higher in the HSP children without renal injury (P<0.05);urine NAG, IgG, TRF and MA levels in the purpura nephritis children were significantly higher than those in the HSP children without renal injury (P<0.05).Conclusion Increase of serum IgA and IgG is valuable signal for the risk of anaphylactoid purpura. Changes of urine NAG, IgG, TRF and MA levels are more specific in predicting early renal injury and purpura nephritis.
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