Kyle P M, Fielder J N, Pullar B, Horwood L J, Moore M P
Department of Obstetrics and Gynaecology, Christchurch Women's Hospital, Christchurch, New Zealand.
BJOG. 2008 Mar;115(4):523-7. doi: 10.1111/j.1471-0528.2007.01621.x. Epub 2008 Jan 16.
The efficacy of the albumin/creatinine ratio (ACR) measurement in detection of significant proteinuria when performed in a high-risk antenatal clinic was compared with automated dipstick, protein/creatinine ratio (PCR), and 24-hour urine protein measurements. Both the ACR (DCA 2000) and PCR were strongly predictive for the presence or absence of significant proteinuria, with positive likelihood ratios (LRs) of 27.4 and 31.6 and negative LRs of 0.0 and 0.1, respectively. Both the ACR (DCA 2000) and PCR are effective tests for both identifying and excluding significant proteinuria in the outpatient setting. The ACR (DCA 2000) has the advantage of providing an immediate result.
在高危产前诊所进行白蛋白/肌酐比值（ACR）检测以发现显著蛋白尿的效果，与自动尿试纸法、蛋白/肌酐比值（PCR）和24小时尿蛋白测量法进行了比较。ACR（DCA 2000）和PCR对显著蛋白尿的存在或不存在均具有很强的预测性，阳性似然比（LRs）分别为27.4和31.6，阴性似然比分别为0.0和0.1。ACR（DCA 2000）和PCR都是在门诊环境中识别和排除显著蛋白尿的有效检测方法。ACR（DCA 2000）具有能立即给出结果的优势。
