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为了探讨原发性肾病综合征(PNS)患者尿中血小板活化因子(PAF)含量变化及其意义,检测了12例PNS患者血、尿PAF及尿蛋白含量。结果显示PNS患者尿PAF含量显著较健康对照者为高(P<0.01),PNS患者与健康对照者血PAF含量类似,表明PNS患者尿中增加的PAF含量,源于肾脏合成PAF增加。尿PAF含量与尿蛋白排泄量呈正相关(r=0.7,P<0.01)。研究表明:尿PAF含量增高可作为肾小球基底膜通透性增高的指标。
In order to investigate the changes of urinary platelet-activating factor (PAF) and its significance in patients with primary nephrotic syndrome (PNS), the blood and urine PAF and urinary protein levels were measured in 12 patients with PNS. The results showed that urinary PAF levels in PNS patients were significantly higher than those in healthy controls (P <0.01). Blood PFA levels in PNS patients and healthy controls were similar, indicating that increased PAF levels in urine from PNS patients were due to increased PAF synthesis in the kidneys. Urine PAF content and urinary protein excretion was positively correlated (r = 0.7, P <0.01). Studies have shown that: increased urinary PAF content can be used as an indicator of increased glomerular basement membrane permeability.