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一般认为肾病患者尿蛋白的检出率以清晨首次尿为最高,而笔者通过多年的临床实践,发现不尽然。之所以认为肾病患者尿蛋白的检出率以晨尿为最高,主要基于从现代生理学观点认为晨尿为历经一夜而产生的浓缩尿,由于其浓度最高,所以尿蛋白的含量相应最高。但肾病患者尿蛋白的漏出量,除了与尿液浓度相关外,中医认为与患者的脾肾功能也密切相关,脾肾亏虚难以固摄精微,则作为精微物质的尿蛋白也随之漏出
It is generally believed that the detection rate of urinary protein in nephropathy patients is the highest for the first time in the morning, and the author has found that it is not true through many years of clinical practice. The reason why urine protein detection rate in patients with nephropathy to morning urine as the highest, based on the view from the modern physiology that morning urine is concentrated urine generated overnight, due to its highest concentration, so the highest urinary protein content. However, in patients with nephropathy urinary protein leakage, in addition to the urine concentration, the Chinese medicine that patients with spleen and kidney function are also closely related to spleen and kidney deficiency is difficult to take a subtle micro-urine as a subtle substance also will be leaking