摘要
摘要目的：探究尿常规检验中常用四项指标对老年高血压患者的临床诊断意义。方法： 2018年 7月 -2020年 3月收治老年高血压患者 65例，均接受尿常规检查，并比较常用四项指标水平。结果： 1级老年高血压患者尿微量白蛋白、尿 β2球蛋白、 24h尿蛋白定量、 N-乙酰 -β-D氨基葡萄糖苷酶指标水平明显低于 2级和 3级患者 ;2级老年高血压患者四项指标水平明显低于 3级患者。病程 10年患者四项指标水平明显低于病程 10～ 20年和病程 >20年患者 ;病程 10～ 20年患者四项指标水平明显低于病程 >20年患者。结论：老年高血压患者不同分级、不同病程与尿蛋白定量、 N-乙酰 -β-D氨基葡萄糖苷酶、尿微量白蛋白以及尿 β：微球蛋白水平呈正比，有助于早期肾功能损伤的诊断。
关键词 尿常规检验 ;四项指标 ;高血压 ;临床诊断
Objective: To explore the clinical diagnostic significance of four commonly used indicators in urine routine test for elderly patients with hypertension. Methods: from July 2018 to March 2020, 65 Elderly Patients with hypertension were treated. All of them received routine urine examination, and the levels of four commonly used indicators were compared. Results: the levels of urinary microalbumin, urinary β 2-globulin, 24-hour urinary protein and N-acetyl - β - d-glucosaminidase were significantly lower in patients with grade 1 hypertension than those in patients with grade 2 and grade 3; the levels of four indexes in patients with grade 2 hypertension were significantly lower than those in patients with grade 3. The level of four indexes in patients with 10-year course of disease was significantly lower than that of patients with disease course of 10-20 years and patients with disease course of more than 20 years; the level of four indicators in patients with 10-20-year course of disease was significantly lower than that of patients with course of disease > 20 years. Conclusion: different grades and course of disease in elderly patients with hypertension are in direct proportion to urinary protein, N-acetyl - β - d-glucosaminidase, microalbumin and β: microglobulin levels, which are helpful for the diagnosis of early renal injury.
出版日期
2020年09月12日（中国期刊网平台首次上网日期，不代表论文的发表时间）
