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[血清β2微球蛋白作为妊娠高血压综合征孕妇肾功能评估指标]

[Beta 2 microglobulin in the serum as a parameter for the evaluation of kidney function in pregnant patients with EPH gestosis].

作者信息

Bartl W

出版信息

Z Geburtshilfe Perinatol. 1983 Jul-Aug;187(4):178-82.

PMID:6353786
Abstract

The renal function of 27 pregnant women with EPH-gestosis were determined by measuring the level of proteinuria, the serum concentration of blood-urea-n (BUN), creatinin, beta 2-microglobulin and the creatinin clearance, in comparison with, 39 healthy pregnant women were examined. For statistics the regressions line with the week of gestation and spearman correlation between our parameters (proteinuria, BUN, creatinin, creatinin clearance and gestosis-index) were determined. The level of the proteinuria as well as the concentration of BUN and serum-creatinin are only limited useful to check the degree of a restriction of the renal function in EPH gestosis. Significant correlations were found between beta 2-microglobulin concentration and the serum creatinin concentration as well as the creatinin clearance, but not between beta 2-microglobulin and the gestosis index. Immunologic reactions in EPH-gestosis seem not to have a significant influence on beta 2-microglobulin concentration, but only the restriction of the degree of the glomerular filtration. Therefore beta 2-microglobulin is a useful parameter for renal function.

摘要

通过测量蛋白尿水平、血尿素氮(BUN)、肌酐、β2-微球蛋白的血清浓度以及肌酐清除率,对27例患有妊娠高血压综合征(EPH-妊娠中毒症)的孕妇的肾功能进行了测定,并与39例健康孕妇进行了比较。为了进行统计学分析,确定了妊娠周数的回归线以及我们的参数(蛋白尿、BUN、肌酐、肌酐清除率和妊娠中毒症指数)之间的斯皮尔曼相关性。蛋白尿水平以及BUN和血清肌酐浓度在检查EPH妊娠中毒症中肾功能受限程度方面仅具有有限的作用。发现β2-微球蛋白浓度与血清肌酐浓度以及肌酐清除率之间存在显著相关性,但β2-微球蛋白与妊娠中毒症指数之间不存在显著相关性。EPH妊娠中毒症中的免疫反应似乎对β2-微球蛋白浓度没有显著影响,而仅对肾小球滤过程度有影响。因此,β2-微球蛋白是评估肾功能的一个有用参数。

相似文献

1
[Beta 2 microglobulin in the serum as a parameter for the evaluation of kidney function in pregnant patients with EPH gestosis].[血清β2微球蛋白作为妊娠高血压综合征孕妇肾功能评估指标]
Z Geburtshilfe Perinatol. 1983 Jul-Aug;187(4):178-82.
2
Alterations of immunologic parameters in pregnancies complicated by EPH-gestosis.妊娠期并发妊娠高血压综合征时免疫参数的改变。
Biol Res Pregnancy Perinatol. 1985;6(2):73-8.
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Concentrations of leptin and neuropeptide Y in maternal plasma, umbilical cord blood and in amniotic fluid in pregnant women with EPH-gestosis.妊娠高血压综合征孕妇母体血浆、脐带血和羊水当中瘦素与神经肽Y的浓度
Arch Immunol Ther Exp (Warsz). 1998;46(5):311-6.
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[Usefulness of biochemical studies in EPH gestosis].
Wiad Lek. 1992 Jan;45(1-2):14-7.
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[Usefulness of determining urinary levels of beta-2-microglobulin in renal function monitoring during normal, at-risk, and EPH gestosis pregnancies].[在正常、高危及妊娠高血压综合征妊娠期间肾功能监测中测定尿β2微球蛋白水平的应用价值]
Ann Ostet Ginecol Med Perinat. 1991 May-Jun;112(3):152-5.
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[Proteinuria in normal pregnancy and in EPH gestosis].[正常妊娠和妊娠高血压综合征中的蛋白尿]
Acta Med Austriaca. 1989;16(1):13-8.
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[Assessment of selected parameters of kidney activity among women with pregnancy and delivery complicated by EPH-gestosis].[妊娠期及分娩期并发妊娠高血压综合征的女性肾脏活动选定参数评估]
Ginekol Pol. 2001 Dec;72(12):1205-9.
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[Significance of uric acid concentration in the serum for the early recognition of the risk of EPH gestosis].[血清尿酸浓度对早期识别妊娠高血压综合征风险的意义]
Fortschr Med. 1981 Oct 1;99(37):1505-10.
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[Beta 2 microglobulin in the serum as a parameter of glomerular kidney function in the first days of life].[血清β2微球蛋白作为生命早期肾小球肾功能指标的研究]
Monatsschr Kinderheilkd. 1986 Oct;134(10):725-8.
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Essential edema-proteinuria-hypertension (EPH) gestosis and gestosis superimposing pre-existing renal disease: comparison of cellular immunity parameters.原发性水肿-蛋白尿-高血压(EPH)妊娠中毒症与妊娠中毒症合并原有肾脏疾病:细胞免疫参数比较
Arch Immunol Ther Exp (Warsz). 1994;42(5-6):387-91.

引用本文的文献

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Serum alpha 1-microglobulin and beta 2-microglobulin for the estimation of fetal glomerular renal function.血清α1-微球蛋白和β2-微球蛋白用于评估胎儿肾小球肾功能。
Pediatr Nephrol. 1991 Sep;5(5):573-7. doi: 10.1007/BF00856641.