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用ELISA方法对78例肾小球疾病患儿做尿视黄醇结合蛋白(RBP),β_2一微球蛋白(β_2一MG)及N一乙酰一β一D一氨基葡萄糖苷酶(NAG)检测,并与85例健康儿童相比较。结果发现:肾小球疾病组尿RBP值急性期显著高于对照组(P<0.01);缓解期与对照组结果相接近(P>0.05).说明原发性肾小球疾病患儿确有不同程度肾小管功能受损;尿RBP值的改变不仅能反映肾小管功能受损程度及反映病情转归,而且比β_2一MG,NAG更敏感。
78 patients with glomerular disease were tested for urinary retinol binding protein (RBP), β_2-microglobulin (β_2-MG) and N-acetyl-β-D-glucosaminidase (NAG) , Compared with 85 healthy children. The results showed that the urinary RBP value in glomerular disease group was significantly higher than that in control group (P <0.01). The remission period was similar to that in control group (P> 0.05). This shows that children with primary glomerular disease indeed have different degrees of renal tubular dysfunction; changes in RBP value of urine not only reflect the extent of renal tubular dysfunction and reflect the outcome of the disease, but also more sensitive than β_2 MG, NAG.