尿KIM-1和TIMP-2水平在脓毒症患儿并发急性肾损伤中的预测价值
Health Research(2022)
Abstract
目的 探讨尿KIM-1和TIMP-2水平在脓毒症并发急性肾损伤(cute kidney injury,AKI)患儿中的预测价值.方法 收集106例脓毒症患儿,并根据临床诊断将其分为AKI组(34例)和非AKI组(72例).收集患儿的临床及实验室血清学指标,采用酶联免疫吸附法检测各组患儿尿KIM-1和TIMP-2水平.应用ROC曲线分析血清肌酐(Scr)和尿KIM-1、TIMP-2水平对AKI的诊断性能,采用Logistic回归分析脓毒症患儿并发AKI的独立影响因素.结果 与非AKI组相比,AKI组Scr、尿KIM-1、TIMP-2水平均明显升高,差异有统计学意义(P<0.05),且尿KIM-1及TIMP-2水平是脓毒症患儿发生AKI的独立影响因素(P<0.05).Scr、尿KIM-1和TIMP-2水平诊断AKI的曲线下面积分别为0.741、0.896、0.869,最佳截断值分别为64.77μmol/L、97.60 ng/L、3.80 ng/L.结论 尿KIM-1和TIMP-2水平,对脓毒症患儿并发AKI具有较高的预测价值.
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Key words
sepsis,acute kidney injury,kidney injury molecule-1,tissue inhibitor of matrix metalloproteinase-2
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