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[菊粉(和对氨基马尿酸)清除率试验在肾功能诊断中是否过时?]

[Is the inulin (and PAH) clearance test obsolete in renal functional diagnosis?].

作者信息

Román W, Wüstenberg P W, Böttcher M

出版信息

Z Gesamte Inn Med. 1980 Jul 15;35(14):590-3.

PMID:7445610
Abstract
  1. It could be confirmed that the endogenic creatinine clearance overestimates the GFR. This overestimation increases with the restriction of the glomerular filtration. 2. By the biphasic pump-regulated permanent infusion of inulin and PAH a constant equilibrium was reached and the clearance was calculated according to the classical formula (output method) as well as from the addition of the test substance (input method) and compared. 3. The comparison of the two clearance techniques results in significantly higher value for inulin as well as for PAH in the input technique. 4. By clearance equations the relation of input and output clearance can be made. The correlation coefficient for the different investigation techniques for the estimation of the inulin clearance was 0.83, for the PAH-clearance 0.88.
摘要
  1. 可以确认,内生肌酐清除率高估了肾小球滤过率(GFR)。随着肾小球滤过的受限,这种高估会增加。2. 通过双相泵调节的菊粉和对氨基马尿酸(PAH)持续输注,达到了恒定的平衡,并根据经典公式(输出法)以及测试物质的添加量(输入法)计算清除率并进行比较。3. 两种清除技术的比较结果显示,输入法中菊粉和PAH的清除率值明显更高。4. 通过清除率方程,可以得出输入清除率与输出清除率的关系。不同研究技术估算菊粉清除率的相关系数为0.83,PAH清除率的相关系数为0.88。

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Z Gesamte Inn Med. 1980 Jul 15;35(14):590-3.
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