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儿童蛋白尿的测定:根据所采用方法的结果变化(作者译)

[Determination of proteinuria in children: changes in results according to the methods used (author's transl)].

作者信息

Zawislak R, Vincendon G, Flori J, Geisert J

出版信息

Arch Fr Pediatr. 1981 Mar;38(3):171-5.

PMID:6165332
Abstract

Five methods for determination of proteinuria are compared : gravimetry, colorimetry (bromocresol green, Biuret test, Lowry's test), opacimetry (sulfosalicylic acid). Determinations were performed on normal urine, overloaded with albumin or gammaglobulins or on abnormal urine, after varying several parameters (pH, osmolarity, glucose, fructose, red blood cells, hemoglobin. leukocytes, germs). Some methods give non linear results depending on the concentrations (gravimetry, sulfosalicylic acid, bromocresol green). Some systematically give over-results (Biuret test, Lowry's test). Some almost exclusively determine albumin levels (bromocresol green, sulfosalicylic acid). In some, results are altered by glucose or fructose (Biuret, Lowry) or by red blood cells (Biuret, Lowry, sulfosalicylic acid). None of the tested methods can be used as a reference method. The method using sulfosalicylic acid is suitable for routine determination; however, results should be interpreted according to the parameters mentioned above.

摘要

对测定蛋白尿的五种方法进行了比较

重量法、比色法(溴甲酚绿法、双缩脲试验、洛瑞氏试验)、比浊法(磺基水杨酸法)。在正常尿液、添加白蛋白或球蛋白的尿液,或改变多个参数(pH值、渗透压、葡萄糖、果糖、红细胞、血红蛋白、白细胞、细菌)后的异常尿液上进行测定。一些方法的结果根据浓度呈非线性(重量法、磺基水杨酸法、溴甲酚绿法)。一些方法系统性地给出过高结果(双缩脲试验、洛瑞氏试验)。一些方法几乎专门用于测定白蛋白水平(溴甲酚绿法、磺基水杨酸法)。在一些方法中,结果会受到葡萄糖或果糖(双缩脲法、洛瑞氏法)或红细胞(双缩脲法、洛瑞氏法、磺基水杨酸法)的影响。所测试的方法均不能用作参考方法。使用磺基水杨酸的方法适用于常规测定;然而,应根据上述参数对结果进行解释。

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