| 余江毅,熊宁宁,余承惠,陆念祖.血尿唾液酸、尿NAG与肾炎湿热证的关系[J].中国中西医结合杂志,1993,(9):525-527,515,516 |
| 血尿唾液酸、尿NAG与肾炎湿热证的关系 |
| Study on Relationship between Dampness-Heat Syndrome of Glomerulonephritis and Sialic Acid and NAG |
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| DOI： |
| 中文关键词: 唾液酸 N—乙酰—β—氨基葡萄糖苷酶 肾炎湿热证 黄蜀葵花 |
| 英文关键词:sialic acid urinary NAG Dampness-Heat Syndrome of glomerulonephritis Abelmoschus manihot |
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| 摘要点击次数: 1474 |
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| 中文摘要: |
| 通过87例慢性肾炎的临床对比观察,发现肾炎湿热证组尿唾液酸(SA)、尿N-乙酰-β-氨基葡萄糖苷酶(NAG)含量明显高于非湿热证组(P<0.05～0.01)。16例慢性肾炎急性发作型均表现有湿热,其血、尿SA,尿NAG水平均显著高于非湿热证组(P<0.001),且尿SA与尿NAG里显著性正相关(r=0.751),并与尿蛋白量相平行。经单味清热利湿药黄蜀葵花治疗后,两组尿SA、NAG均呈显著性下降,尿蛋白量亦明显减少(P<0.05～0.001),说明尿SA、NAG值可作为肾炎湿热证的客观辨证指标及疗效参考指标。 |
| 英文摘要: |
| Plasmic and urinary sialic acid and urinary N-acetyl-β-D-glucosaminidase （NAG） of 87 glomer-ulonephritic patients with and without Dampness-Heat Syndrome were measured, and the influence of clearing up Dampness-Heat therapy on above-mentioned parameters was investigated. The results showed that Psa, Usa and UNAG of Dampness-Heat Syndrome were significantly higher than those of non-Dampness-Heat Syndrome （P< 0.05-0.01）. The further analysis indicated that the patients with acute onset of chronic nephritis manifested as Dampness-Heat, showed marked positive correlation between Usa and UNAG as well as between UNAG and proteinuria respectively （r=0.75 and 0.722, P< 0.001）. With the treatment of Abelmoschus manihot which could remove the Dampness-Heat, the amount of proteinuria, Usa and UNAG were all significantly decreased （P< 0.05- 0.001）. It suggested that Usa and UNAG might be as diagnostic and curative parameters of Dampness-Heat of glomerulonephritis. |
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