CAJ | 학술논문

目的：研究肾动态显像法以及双血浆法共同测定肾小球滤过率的差异。方法108例肾脏病患者,利用肾动态显像完成Gates法核素肾动态显像,得到肾小球滤过率,然后实施静脉注射99 m锝-二乙三胺五乙酸(Tc-DTPA),分2 h和4 h两个时间段采集患者血液,统计1 ml血浆中的放射性物质,采用双血浆法计算得到肾小球滤过率,最后就肾动态显像法以及双血浆法的测定结果进行分析。结果肾动态显像法测定的平均值为49.76,而双血浆测定平均值为45.39,差异无统计学意义( P>0.05)。结论两种检测方法无明显的相关性,但肾动态显像法检测的指标较为全面,在临床上可选择将两者联合检测肾小球滤过率。
목적：연구신동태현상법이급쌍혈장법공동측정신소구려과솔적차이。방법108례신장병환자,이용신동태현상완성Gates법핵소신동태현상,득도신소구려과솔,연후실시정맥주사99 m득-이을삼알오을산(Tc-DTPA),분2 h화4 h량개시간단채집환자혈액,통계1 ml혈장중적방사성물질,채용쌍혈장법계산득도신소구려과솔,최후취신동태현상법이급쌍혈장법적측정결과진행분석。결과신동태현상법측정적평균치위49.76,이쌍혈장측정평균치위45.39,차이무통계학의의( P>0.05)。결론량충검측방법무명현적상관성,단신동태현상법검측적지표교위전면,재림상상가선택장량자연합검측신소구려과솔。
Objective To study differences of glomerular filtration rate measured by renal dynamic imaging method and double plasma method. Methods All 108 cases of kidney disease patients received Gates radionuclide renal dynamic imaging by renal dynamic imaging to get the glomerular filtration rate, then implemented intravenous injection of 99mTc-DTPA, blood were collected at two time periods(2 h, 4 h), radioactive material was calculated in 1 ml of plasma, calculated glomerular filtration rate using double plasma method, adopted double plasma method to calculate the glomerular filtration rate, finally analyzed determination results of renal dynamic imaging method and dual plasma method. Results The average was 49.76 with renal dynamic imaging method, while 45.39 with double plasma method, the difference was not statistically significant(P>0.05). Conclusion No significant correlation was found between the two methods for detection results, but the detection of renal dynamic imaging method index is comprehensive, combination of two methods should be used for the determination of glomerular filtration rate.