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目的:分析AIDS患者尿液常规特点,探讨AIDS相关肾损害。方法:回顾性分析23例AIDS患者(AIDS组)及同期住院34例非AIDS/HIV感染者(对照组)尿常规资料,比较2组患者尿蛋白、管型、尿红细胞、尿白细胞等。结果:AIDS组与对照组比较尿蛋白、红细胞、白细胞、胆红素、尿胆原及尿糖阳性率均明显升高,差异有统计学意义(P<0.05),而管型及尿酮体阳性率比较,差异无统计学意义(P>0.05)。结论:AIDS并发肾损害较常见,加强监测尿蛋白、尿红细胞等,必要时行肾组织活检有助于早期诊断HIV相关性肾病,及时干预治疗可能延缓病情进展。
OBJECTIVE: To analyze the general characteristics of urine in AIDS patients and explore AIDS-related renal damage. Methods: The urine samples from 23 AIDS patients (AIDS group) and 34 non-AIDS / HIV infected patients (control group) were retrospectively analyzed. The urinary protein, tubular type, urinary erythrocytes and urinary leukocytes were compared between the two groups. Results: The positive rates of urinary protein, erythrocytes, white blood cells, bilirubin, urinary gallbladder and urine sugar in AIDS group were significantly higher than those in control group (P <0.05), while the positive rates of tubular and urine ketone body The difference was not statistically significant (P> 0.05). Conclusion: AIDS complicated with renal damage is more common. Urinary protein and urinary red blood cells may be monitored intensively. If necessary, renal biopsy may be helpful for the early diagnosis of HIV-associated nephropathy. Timely intervention may delay the progress of the disease.