[1]杨西超,冯 媛 ,吴振彪,等.系统性红斑狼疮患者血尿酸水平变化临床研究*[J].陕西医学杂志,2019,(7):906-908.
 YANG Xichao,FENG Yuan,WU Zhenbiao,et al.Clinical study on changes of the serum uric acid levels in patients with systemic lupus erythematosus[J].,2019,(7):906-908.
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系统性红斑狼疮患者血尿酸水平变化临床研究*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年7期
页码:
906-908
栏目:
临床研究
出版日期:
2019-07-05

文章信息/Info

Title:
Clinical study on changes of the serum uric acid levels in patients with systemic lupus erythematosus
文章编号:
DOI:10.3969/j.issn.1000-7377.2019.07.026
作者:
杨西超1冯 媛1 吴振彪1吕婷婷
1.空军军医大学第一附属医院临床免疫科(西安710032);2.空军军医大学第二附属医院风湿免疫科(西安710038)
Author(s):
YANG XichaoFENG YuanWU Zhenbiaoet al.
Department of Clinical Immunology,First Affiliated Hospital of Air Force Military Medical University (Xi’an 710032)
关键词:
红斑狼疮系统性血尿酸肾损害免疫球蛋白狼疮肾
Keywords:
Key words Lupus erythematosusSystemicBlood uric acidRenal damageImmune serum proteinLupus nephritis
分类号:
R593.24
文献标志码:
A
摘要:
摘 要 目的:探究系统性红斑狼疮与血尿酸水平的关系。方法:回顾性分析110例系统性红斑狼疮患者病历资料,根据是否存在肾损害分为狼疮肾组(65例)和单纯狼疮组(45例),另外再选取30例健康人为对照组。检测空腹血尿酸水平、补体C3和免疫球蛋白(IgG、IgM、IgA)水平的变化,对两组患者的检测结果进行统计学分析。结果:系统性红斑狼疮组患者血尿酸水平明显高于非狼疮肾组,比较差异显具有统计学意义(P<0.05),狼疮肾组患者的血尿酸水平明显高于单纯狼疮组,与对照组的正常水平相比差异明显,具有统计学意义(P<0.05),狼疮肾组的C反应蛋白明显高于非狼疮肾组,狼疮肾组的补体C3以及免疫球蛋白IgG、IgA 、IgM等指标均明显低于非狼疮肾组,其中系统性红斑狼疮患者在狼疮肾组的血清免疫蛋白水平均明显高于健康体验者的对照组,两组比较差异明显,具有统计学意义(P<0.05)。结论:血尿酸升高会导致系统性红斑狼疮的肾损害,血尿酸水平的高低是狼疮患者肾损害的关键因素。
Abstract:
Abstract Objective:To explore the relationship between the systemic lupus erythematosus (SLE) and uric acid. Methods: Review and analysis110 cases of SLE patients,according to the presence of renal damage situation was divided into group(65 cases)and non lupus erythematosus kidney kidney group(45 cases),and then select 30 control. The detection of blood uric acid concentration,C3 and immune serum protein (IgG/IgM/IgA). Results:Blood uric acid levels were significantly higher than those of LN group,c-reactive protein of lupus kidney group was obviously higher than that of non lupus kidney group,lupus kidney group of C3 were significantly lower than the lupus kidney group. Conclusion:Higher blood uric acid can lead to kidney damage of SLE,the blood level of uric acid is a key factor of renal damage in SLE patients .

参考文献/References:

[1] Fairhurst AM,Wandstrat AE,Wakeland EK. Systemic lupus erythematosus: multiple immunologic phenotypes in a complex genetic disease [J].Adv Immunol, 2006,92:1-69. [2] Tsokos GC,Kammer GM.Molecular aberrations in human systemic lupus erythematosus [J].Mol Med Today, 2000,6:418-424. [3] C’imbaluk D,Naumann A. Renal involvement in systemic lupus erythematosus : glomerular pathology,classification,and future directions \[J \]. Diagnostic Histopathology,2017, 23(3 ):109-116. [4] Plantinga IC,Drenkard CC,Pastan SO,et al. Attribution of cause of end-stage renal disease among patients with systemiclupus erythem atosus: the georgia iup us registry [J]. Iupus Sci Med,2016,3(1):e 000132. [5] 佚 名.系统性红斑狼疮诊断及治疗指南[J].中华风湿病学杂志,2010,14 (5 ):342-346. [6] 杨朝晖,粱 晶,朱秋玲,等.系统性红斑狼疮患者高尿酸血症与病情的关系[J].内蒙古民族大学学报:自然科学版,2015,2:145-148. [7] 付 豆,丁国华,王惠明,等.血尿酸水平与系统性红斑狼疮活动度及其肾损害的关系[J].山东医药,2017,57(5):43-45. [8] 陈 宪,周 蕾,庞 杰,等.血尿酸与系统性红斑狼疮患者肾损害的关系[J].天津医科大学学报,2014,20(1):42-44. [9] 田新玮,游碧荣,陈 昶.益气利阴活血方联合醋酸泼尼松治疗系统性红斑狼疮58例[J].陕西中医,2016,37(12):1628-1629. [10] 郑 杰,赵亚妮,陈庆平,等.血清IFN-a、IL-6水平与系统性红斑狼疮和实验室指标相关性分析[J].陕西医学杂志,2016,45(3):366-367.

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备注/Memo

备注/Memo:
*陕西省科技统筹创新工程计划项目(2016KTCL03-03)
更新日期/Last Update: 2019-07-12