Introduction of Several Renal Function Index

-
The renal function test can usually indicate whether people have kidney diseases or not,disease conditions and evaluation of therapeutic effects and prognosis,and based on which the dose of medicines,dialysis and other treatments can be determined. It is worthwhile to note that traditional renal function test is a rough assess,so far the renal fibrosis index makes it possible to determine the injury degree from the aspect of micro cells,but this technique can only be found in Shijiazhuang kidney disease hospital.
The following is going to introduce some commonly used norms in renal function test in clinical along with their clinical significance.
Blood Urea Nitrogen(BUN)
Normal range:3.2-7.1mmol/L(9-20mg/dl)
Clinical significance
increase——acute and chronic nephritis,severe nephropyelitis,acute and chronic renal dysfunction caused by various reasons,heart failure,shock,burn,dehydration,internal bleeding,adrenocortical insufficiency,prostate enlargement,Chronic urinary tract obstruction and so on.

Serum creatinine

Normal range
Adult Women: 0.5 to 1.1 mg/dL
Adult Men: 0.6 to 1.2 mg/dL
Individuals With Only One Kidney: 1.8 to 1.9 mg/dL
Clinical significance
Increase----kidney failure,heart failure,gigantism,megalakria and so on.
Decrease---progressive muscular atrophy,leukemia and anemia.
Blood urea acid(UA)
Normal range
Adult men:149～417μmol/L
Adult women:89～357μmol/L
Old men: (>60)250～476μmol/L
Old women: (>60)90～434μmol/L
Clinical significance
Increase----gout,acute and chronic leukemia,multiple myeloma,pernicious anemia,kidney failure,liver failure,globulism,reaction of pregnancy,aggravating activities and high fat.
Urine creatinine
Normal range
Infants:88～176μmmol·kg-1/d
Children:44～352μmol·kg-1/d
Adults:7～8mmol/d
Clinical significance
Increase---starvation,fever,acute and chronic consumption.
Decrease----kidney failure,amyotrophia,,anemia and leukemia.
Selective Proteinuria Index(SPI)
Normal range
SPI<0.1,normal;
SPI0.1～0.2,general;
SPI>0.2, bad.
Clinical significance
when the large molecules such as IgG is less in the urine,it indicates that SPI is good,otherwise,SPI is bad.
Creatinine Clearance Rate(CcR)
Normal range
Adult men:0.45～1.32ml·s-1/m2
Adult women:0.85～1.29ml·s-1/m2
Clinical significance
When the CcR is decreased to 0.5～0.6ml·s-l/m2(52～63ml/min/1.73 m2),the renal function declines;while the CcR is decreased to less than 0.3ml·s-1/m2(31ml/min/1.73m2),the filtration function of the kidney is decreased seriously.
Phenol Red Excretion Test(PSP)
Normal range
15min0.25～0.51(0.53)
30min0.13～0.24(0.17)
60min0.09～0.17(0.12)
120min0.03～0.10(0.06)
120min gross amount 0.63～0.84(0.70)
Clinical significance
When there is only 50% function of kidney tubules,it indicates that the excretion rate begins to decline. The diseases such as chronic glomerular nephritis,chronic nephropyelitis,renal vascular sclerosis,Fanconi syndrome,heart failure,renal arteriosclerosis,high blood calcium,low blood potassium,congestive heart failure,nephrotoxicity and drug induced nephropathy.

评论

发表评论

此博客中的热门博文

Can gout patient eat Chinese chives?Why is that?

-
图片
Can gout patient eat Chinese chives?Why is that? Leek is a common food in life, and the blood is very good. Leeks are good for human health, but some people in life are not fit to eat leeks.The diet of gout patients needs special attention, a lot of food cannot touch, should notice control purine content, that gout can eat leek? Chive is a very good vegetable, and good for your health.Dietary respect have a lot of gout patients should pay attention to, but Chinese chives can  still eat, leek moderate condition in patients with gout will not have any effect, must eat eat Chinese chives, gout patients can eat walnut meat Fried leeks, would be a simple variety, purine content is low, and the leek is warm sex food, so patients with gout can be just the right amount of eat the leek. The benefits of leek are very high, and the right amount of chives is very good for gout.Although the gout patient says the food should pay attention to a lot of things, but the food still should be diversifi
阅读全文

Urine protein

-
图片
Urine protein is the protein examined by the urine, which becomes muddy after the heat through acidize. 24 hours urine protein range is lower than or equal to 0.15g with normal people and by routine test, the urine protein is examined to be feminine. If the urine proteins are examined to be lower than 150ml/day, which means there is urine protein. It shows that the urine proteins are obviously increase in human bodies. It belongs to abnormal urine proteins. If the urine protein keeps positive, it often represents the lesion of urine proteins, thus clinic can decide the level of kidney damage and the effects of the kidney treatments according to the number of the positive of urine proteins. Therefore, the abnormal urine proteins occur. It must be controlled effectively and eliminated to prevent the worsen of the state of illness. If the glomerulus and kidney tubules are leted, such as the period of nephritis, kidney diseases and high blood pressure, which occult kidney arterioscler
阅读全文

Guyabano Leaves Treatment for Kidney Disease

-
图片
Guyabano is a fruit bearing tree popular in the Philippines and other nearby countries. There are many medical benefits of guyabano leaves and fruits. Well then, is guyabano leaves treatment treatment good for kidney disease patients? Benefits of guyabano leaves One of the best medical benefits of guyabano leaves is the boost of body’s energy level. For some kidney disease patients with fatigue, guyabano leaves are good resources for producing energy. In addition, guyabano leaves are also reported to have antinociceptive and anti-inflammatory activities. However, this facts need more evidences. To sum up, kidney patients can benefit from guyabano leaves tea but cannot depend on it to solve the problem from the root. A holistic treatment is needed. Treatment options for kidney disease patients ● Acupuncture It belongs to a traditional Chinese medicine treatment. There are many acupoints related to kidneys. By stimulating these points by some special needles, Qi (pronounce
阅读全文