指甲肌酐测定在评估老年肾功能中的应用

Clinical application of fingernail creatinine (Ncr) determination in estimating renal function of the aged

  • 摘要: 本文对肾功能正常人70例(老年人37例,中青年人33例)及慢性肾衰患者35例(老年人10例,中青年人25例),用硷性苦味酸法测定指甲游离端肌酐含量。结果显示老年及中青年肾功能正常组指甲肌酐均值分别为7.02±0.21(mg/100g指甲)及7.24±0.69(mg/100g指甲),二者差别无显著性(p>0.05);老年及中青年慢性肾衰组指甲肌酐均值分别为14.35±0.8mg/100g指甲)及14.85±0.87mg/100g指甲),与同年龄肾功能正常组比较差别均有显著性(P<0.01);并且老年人及中青年人指甲肌酐与指甲在甲根部形成时的血肌酐均呈线性正相关(r=0.967及0.051,P<0.01),提示指甲肌酐含量与指甲在甲根部形成时的血肌酐水平密切相关而与年龄无关。此项检查在评价老年人肾功能和在一定范围内估计老年肾衰患者病期上有临床实用价值。

     

    Abstract: One hundred and five fingernail specimens were measured by standard alkaline picrate method. Seventy of these were from normal individuals (37 aged, 33 preaged). Other 35 specimens were obtained from patients with chronic renal failure (10 aged, 25 preaged). The result showed that Ncr of normal aged and preaged subjects was 7.02±0.21 and 7.24±0.69mg/100g nail respectirely. Terewas no significant difference between the two groups. Ncr of aged and preaged patients with chronic renal failure was 14.35±0.80 and 14.85±0.87mg/100g nail respectirely. It suggest that there is no correlation between the amount of Ncr and age, whereas a positive linearcorrelation is present between Ncr and Scr (Aerum creatinine). Our results suggest that the method may be of va-lue in estimating the renal failure in the aged people and, possibly, in determining the duration of renal failure.

     

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