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目的:探讨血清鸟氨酸氨基甲酰转移酶在急性肾挫伤中的诊断价值。方法:选取2009年5月-2012年6月于本院进行治疗的34例急性肾挫伤患者为观察组,同期的34名健康体检人员为对照组,将两组患者血清OCT、CysC、Scr、hs-CRP、Ccr及肾主动脉血流动力学指标进行比较。结果:观察组的血清OCT、Cy-sC、Scr、hs-CRP均高于对照组,Ccr低于对照组,肾主动脉Vmax、Vmin均低于对照组,AT、RI及PI均高于对照组,且重度患者变化幅度大于轻度患者,开放性患者大于闭合性患者(P均<0.05)。结论:血清鸟氨酸氨基甲酰转移酶在急性肾挫伤中的诊断价值较高,与患者的肾损伤相关指标及炎性因子的变化基本一致。
Objective: To investigate the diagnostic value of serum ornithine carbamoyltransferase in acute renal contusion. Methods: Thirty-four patients with acute renal contusion who were treated in our hospital from May 2009 to June 2012 were selected as observation group and 34 healthy control subjects as control group. Serum levels of OCT, CysC, Scr, hs-CRP, Ccr and renal aortic hemodynamic parameters were compared. Results: The serum levels of OCT, Cy-sC, Scr and hs-CRP in the observation group were higher than those in the control group, while the Ccr was lower than that in the control group. The Vmax and Vmin in the aorta of the renal artery were lower than those in the control group Group. The severity of severe patients changed more than that of mild patients, and the open patients were more than the closed patients (all P <0.05). CONCLUSION: Serum ornithine carbamoyltransferase has a high diagnostic value in acute renal contusion and is consistent with changes of renal injury related indexes and inflammatory cytokines in patients.