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目的:评价血、尿β2微球蛋白(β2M)对早期发现前列腺增生症(BPH)患者轻度肾功能损害的作用。方法:测定了112例BPH患者的血β2M、尿β2M、血肌酐(Cr)水平、膀胱残余尿量(PVR)及尿流率,并以65例健康人作为对照。结果:重度梗阻组患者尿中β2M明显高于对照组(P<0.05),且与其膀胱残余尿量和最大尿流率(Qmax)有显著相关性(P<0.025),而血β2M和Cr值则与对照组无明显差别(P>0.05);轻度梗阻组患者血β2M、尿β2M、血Cr值与对照组无明显差别(P>0.05)。结论:检测β2M可早期发现BPH患者的轻度肾功能障碍,且尿β2M较血β2M、Cr更灵敏
Objective: To evaluate the effect of blood and urine β2-microglobulin (β2M) on mild renal damage in patients with benign prostatic hyperplasia (BPH). Methods: Blood β2M, urinary β2M, serum creatinine (Cr) level, residual bladder volume (PVR) and urinary flow rate were measured in 112 patients with BPH. Totally 65 healthy people were used as control. Results: The urinary β2M in severe obstruction group was significantly higher than that in control group (P <0.05), and was significantly correlated with residual urine volume and maximum flow rate (Qmax) (P <0.025) β2M and Cr had no significant difference with those of the control group (P> 0.05). There was no significant difference in blood β2M, urine β2M and blood Cr between the mild obstruction group and the control group (P> 0.05). Conclusion: The detection of β2M early detection of mild renal dysfunction in patients with BPH, and urine β2M than blood β2M, Cr more sensitive