正文 糖尿病腎病Ⅲ期患者尿蛋白譜特征及其與中醫證候的回歸分析(3 / 3)

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Characteristic of urinary protein spectrum in patients with stage Ⅲ diabetic

nephropathy and its regression analysis with traditional

Chinese medicine symptom

WAN Yi-gang1, MENG Xian-jie2, SHEN Shan-mei1 *, LUO Xun-yang1, GU Liu-bao3, SHI Xi-miao2, YAO Jian4

(1.Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing , China;

2.Nanjing Drum Tower Hospital Clinical College of Traditional Chinese and Western Medicine, Nanjing University of

Chinese Medicine, Nanjng , China;

3.Jiangsu Province Institute of Geriatrics, Nanjing , China;

4. Department of Molecular Signaling University of Yamanashi, Yamanashi 409-3898, Japan)

[Abstract] To analyze the characteristic of urinary protein spectrum in patients with stage Ⅲ diabetic nephropathy(DN)and its compliance with traditional Chinese medicine(TCM)symptom, for the sake of providing a basis for clarifying the rules of TCM syndrome differentiation in DN. Adopting the traditional epidemiological retrospective method, thirty-eight TCM syndromes and urinary protein with medium or low molecular weight, as well as urinary enzyme, including 24 h urinary protein (Upro), urinary albumin(UAlb), urinary retinal binding protein(URBP), urinary cystatin C(UCysC), urinary N-acety1-β-D-glucosaminidase(UNAG), were collected from 108 patients with stage Ⅲ DN, and a multiple factor regression analysis between them was conducted. As the results, the levels of Upro, UAlb, URBP, UCysC, and UNAG were increased in 108 patients with stage Ⅲ DN. Qi-Yin deficiency type was the major type. The level of UAlb in patients with Qi-Yin deficiency type was significantly higher than those without Qi-Yin deficiency type(P

[Key words] diabetic nephropathy; traditional Chinese medicine syndrome; urinary protein; regression analysis

doi:10.4268/cjcmm