Bax抑制因子Ⅰ对冠状动脉造影术后患者发生造影剂肾病的预测价值

    Predictive value of Bax inhibitor-1 in contrast induced nephropathy after coronary arteriography

    • 摘要: 目的 探讨血清、尿液Bax抑制因子Ⅰ(Bax inhibitar-1,BI-1)1水平对冠状动脉造影术(coronary arteriography,CAG)术后发生造影剂肾病(contrast-induced nephropathy,CIN)的预测价值。方法 选取2020年11月至2021年7月在徐州医科大学附属淮安医院招募择期拟行CAG的患者。采集患者一般临床资料、血生化、血常规、血凝常规等生化指标。留取患者术前、术后血清以及术前、术后12h、24h、48h尿液标本,采用酶联免疫吸附测定(enzyme-linked immunosorbent assay,ELISA)检测BI-1水平。统计分析时根据是否发生CIN分为CIN组共14例和非CIN组共112例,比较其血清及尿液中BI-1的水平,并运用ROC曲线检验BI-1水平对CAG术后发生CIN的预测价值。结果 CIN组术前血清、尿液及术后12h尿液BI-1水平低于非CIN组。ROC曲线显示,术前血清、尿液及术后12h尿液BI-1水平曲线下面积为0.731、0.766、0.766(P<0.01)。结论 在行CAG术时,术前血清、尿液及术后12h尿液BI-1水平可作为CIN发生的预测指标。

       

      Abstract: Objective To explore the predictive value of Bax inhibitor-1(BI-1)in contrastinduced nephropathy(CIN)in patients after coronary arteriography(CAG). Methods A total of 126 patients undergoing CAG were recruited from November 2020 to July 2021. General profiles, blood biochemistry and routine coagulation test were recorded. Urine samples were collected at pre-operation and 12/24/48h post-operation. Both preoperative and postoperative serum samples were assayed. BI-1level was detected by enzyme-linked immunosorbent assay(ELISA). Based upon the presence or absence of CIN, they were divided into two groups of CIN(n=14)and non-CIN(NCIN, n=112). The serum and urinary levels of BI-1 were detected. And the predictive values of serum and urine BI-1 in CIN were evaluated by receiver operating curve(ROC). Results The serum and urinary levels of BI-1 at preoperation and 12h post-operation were lower in CIN group than those in NCIN group. ROC analysis indicated that AUCs of BI-1 level of serum and urine pre/post-operation and BI-1 level of urine 12h postoperation were 0.731, 0.766 and 0.766 respectively(P<0.01). Conclusion BI-1 level of serum and urine pre/post-operation and BI-1 level of urine 12h post-operation may be employed as predictive parameters for CIN patients after CAG.

       

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