老年人群尿干化学指标与阿尔茨海默病相关神经丝蛋白检测水平相关性研究
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国家重点研发计划(2022YFC2403504);国家自然科学基金(82160258);广西自然科学基金( 2023GXNSFBA026173);桂林市科学研究与技术开发计划项目( 20220139-7-4)


The correlation between urine dry chemical indexes and Alzheimer-associated neuronal thread proteindetection levels in the elderly population
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    摘要:

    目的 探讨老年人群尿液干化学检测指标与阿尔茨海默病相关神经丝蛋白(AD7c-NTP) 检测水平之间的相关性。方法 选取2021 年7 月—2022 年3 月桂林医学院附属医院健康体检者455 名 为研究对象,收集受试者尿液标本,采用酶联免疫吸附法检测AD7c-NTP浓度,采用干化学分析仪检测 尿干化学指标,采用非参数检验分析尿干化学指标对AD7c-NTP的影响,采用偏相关检验分析尿干化学 指标与AD7c-NTP 的相关性。结果 男性尿液AD7c-NTP水平低于女性,差异有统计学意义(P < 0.05)。 不同年龄人群AD7c-NTP水平比较,差异有统计学意义(P< 0.01)。男性尿液干化学指标中pH值、比重、 亚硝酸盐和葡萄糖的不同亚组人群AD7c-NTP水平比较,差异均无统计学意义(均P> 0.05);浊度、隐血、 粒细胞酯酶和尿蛋白的不同亚组人群AD7c-NTP水平比较,差异均有统计学意义(均P< 0.05)。男性尿 干化学指标中尿液浊度、pH值、比重、亚硝酸盐、葡萄糖与AD7c-NTP水平无相关性(均P> 0.05);尿液 隐血、粒细胞酯酶、尿蛋白与AD7c-NTP水平均有相关性(均P< 0.05)。女性尿液干化学指标中pH值、 比重、葡萄糖和隐血的不同亚组人群AD7c-NTP水平比较,差异均无统计学意义(均P> 0.05);浊度、亚 硝酸盐、粒细胞酯酶和尿蛋白的不同亚组人群AD7c-NTP水平比较,差异均有统计学意义(均P< 0.05)。 女性尿干化学指标中尿液pH值、比重、葡萄糖与AD7c-NTP水平无相关性(均P> 0.05);尿液浊度、亚硝 酸盐、隐血、粒细胞酯酶和尿蛋白与AD7c-NTP水平均有相关性(均P < 0.05)。结论 尿干化学指标中 亚硝酸盐、隐血、粒细胞酯酶和尿蛋白与AD7c-NTP存在一定的相关性,在AD7c-NTP临床应用中应考虑 尿干化学指标的可能影响。

    Abstract:

    Objective To investigate the effects of urine dry chemical indexes on the detection level of Alzheimer-associated neuronal thread protein( AD7c-NTP) in the elderly population. Methods A total of 455 health examination subjects from the Affiliated Hospital of Guilin Medical University from July 2021 to March 2022 were selected as participants. Urine samples were collected, the concentration of AD7c-NTP were detected by enzyme-linked immunosorbent assay( ELISA), the urine dry chemical indicators were detected by dry chemical analyzer. Non-parametric test was used to analyze the effects of urine dry chemical indexes on AD7c-NTP levels, partial correlation test was used to analyze the correlation between urine dry chemical indexes and AD7c-NTP. Results The urine AD7c-NTP level in men was lower than that in women, and the difference was statistically significant( P<0.05). There was significant difference in the level of AD7c-NTP among different age groups( P<0.01). There were no significant differences in the levels of AD7c-NTP in different subgroups of pH, specific gravity, nitrite and glucose in male urine dry chemistry indexes( all P > 0.05); There were significant differences in AD7c-NTP levels among different subgroups of people with turbidity, occult blood, granulocyte esterase and urinary protein( all P<0.05). There was no correlation between AD7c-NTP level and urine turbidity, pH value, specific gravity, nitrite, glucose in male urine dry chemical indicators( all P>0.05); The level of AD7c-NTP was correlated with the degree of occult blood in urine, granulocyte esterase and urinary protein( all P<0.05). There were no significant differences in the levels of AD7c-NTP in different subgroups of female urine dry chemical indicators, such as pH value, specific gravity, glucose and occult blood( all P>0.05); The levels of AD7c-NTP in different subgroups of turbidity, nitrite, granulocyte esterase and urinary protein were significantly different( all P<0.05). There was no correlation between urine pH, specific gravity, glucose and AD7c-NTP levels in female( all P >0.05); Urine turbidity, nitrite, occult blood, granulocyte esterase and urine protein were correlated with AD7c-NTP levels( all P<0.05). Conclusions The urine nitrite, occult blood, granulocytic esterase and protein of dry chemical indexes were correlated with AD7c-NTP, the interpretation of AD7c-NTP detection results in clinical application should refer to urine dry chemical indexes.

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金贺,陈国栋,赵丽,何静,王蓉.老年人群尿干化学指标与阿尔茨海默病相关神经丝蛋白检测水平相关性研究[J].神经疾病与精神卫生,2025,25(7):474-479
DOI :10.3969/j. issn.1009-6574.2025.07.003.

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  • 在线发布日期: 2025-07-22