一氧化氮与肾小球疾病关系的初步研究
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    摘要:

    目的 了解一氧化氮(NO)与肾小球疾病发病关系。方法 采用Griess 硝酸盐还原法对44 例急性肾炎,32 例肾病综合征,18 例紫癜性肾炎进行了血清亚硝酸/硝酸盐(NO2-/NO3 -) 测定,并以28 例健康儿童作对照。结果 疾病组血清NO2 -/NO3 - 的浓度( 急性肾炎:70 .8 ±34.7 μmol/L;肾病综合征:66 .6 ±27.9;紫癜性肾炎:47 .4 ±21.4 μmol/L) 显著高于对照组(30.3 ±8 μmol/L,P<0 .01),疾病急性期高于缓解期( P< 0.05),伴有感染者(93 .5 ±32.9 μmol/L) 高于无感染者(48 .7±14 μmol/L,P< 0.01)。肾病综合征血清NO2-/NO3 - 浓度与胆固醇水平呈负相关( P< 0 .01) ,与血浆白蛋白及尿蛋白定量无相关(P> 0.05) 。结论 NO 可能参与这3 种肾小球疾病发病及病理损伤过程。

    Abstract:

    Objective To observe the relationship between nitric oxide (NO) and glomerulus diseases.Methods The serum nitrite/nitrate (NO 2 -/NO 3 -) ratio was determined through Griess nitrate reduction in 94 children with renal disease as the patient group, including 44 cases of acute nephritis (AN) and 32 cases of nephrotic syndrome (NS) and in addition 28 healthy children as the control group. Results The serum NO 2 -/NO 3 - ratio found in the patient group (AN 70.8±34.7 μmol/L, NS 66.6±27.9 μmol/L, PN 47.4±21.4 μmol/L) were obviously higher than those seen in the control group (30.3±8 μmol/L, (P<0.01) and the ratio was higher in the acute active phase than in the remission phase of glomerulus diseases (P<0.05).Furthermore, NO 2 -/NO 3 - ratio was higher in patients with infection (93.5±32.9 μmol/L) than in the patients without infection (48.7±14 μmol/L, (P<0.01). The serum NO 2 -/NO 3 - ratio in children suffering from nephritic syndrome was negatively correlative with the concentration of the blood cholesterol (P<0.01),while it was correlative with neither plasma albumin level nor the uric protein quantity (P>0.05).Conclusions Nitric oxide seems to be involved in the pathologic process of acute nephritis, nephritic syndrome and purpuric nephritis.

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.一氧化氮与肾小球疾病关系的初步研究[J].中国当代儿科杂志,1999,1(4):0

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  • 在线发布日期: 1999-04-25
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