Baltacı D, İsmail Hamdi KARA, Melih Engin ERKAN, Ramazan MEMİŞOĞULLARI, Muhammed AŞIK, Sultan SAYIN, Taner UÇGUN, Aylin YILMAZ

Metabolik Sendrom Hastalarında Erken Dönem Böbrek Hasarının Saptanmasında Mikroalbuminuri, Sistatin-C ve Tc99m Mag–3 Böbrek Sintigrafisi Yöntemlerinin Karşılaştırılması

Metabolik sendrom diyabetes mellitus ve kalp-damar hastalıklarının gelişmesinde en önemli faktörlerden birisidir. Metabolik sendrom olgularında erken dönem renal hasarın oluştuğu gösterilmiştir. Erken dönem renal hasarın saptanması ve tedavi başlanması kardiyovaskuler ve tüm nedenlere bağlı mortalite ve morbiditenin önlenmesinde önemli yaklaşım olacaktır. Bu araştırmada metabolik sendrom olgularında erken dönem böbrek hasarının saptanmasında mikroalbüminüri, cystatin-c ve Tc99m mag–3 böbrek sintigrafisi yöntemlerinin karşılaştırılması amaçlanmıştır. Gruplar arasında Sistatin-C ve idrar mikroalbüminüri açısından anlamlı fark izlendi. Metabolik sendrom olgularında idrar mikroalbüminüri-kreatinin oranı (26,4 ± 3,8 mg/g ve 4,9 ± 0,9 mg/g; p = 0,005) ve serum sistatin-C (0,76 ± 0,07 mg/dL ve 0,59 ± 0,05 mg/dL; p = 0,002) ortalaması kontrol grubu olgularına göre yüksek saptandı. Tc99m mag–3 böbrek sintigrafisi hem sağ hem de sol böbrek için her iki grupta benzer saptandı (Sağ: 49,4 ± 6,3 % ve 51,7 ± 7,1 %, p = 0,113; Sol: 50,8 ± 4,8 % ve 48,3 ± 5,9 %, p = 0,202). Metabolik sendrom olgularında serum hs-CRP (5,1 ± 0,7 mg/dL ve 1.8 ± 0,3 mg /dL; p < 0,001) ve ürik asit seviyeleri (6,7 ± 1,1 mg/dL ve 4,6 ± 1,6 mg/dL; p < 0,001) kontrol grubu olgularına göre anlamlı düzeyde yüksek saptandı

Anahtar Kelimeler:

Metabolik Sendrom, Cystatin-C, Tc99m Mag–3 Böbrek Sintigrafisi, Nefropati,

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Metabolic syndrome is one of the main factors for development of diabetes mellitus and cardiovascular diseases. It was shown that earlystage renal injury was developed in cases with metabolic syndrome. Detection of early-stage renal injury and its treatment seem to be good approach for prevention in cardiovascular and all-cause mortality and morbidity. In the study, it was aimed to compare the methods of CystatinC, Tc99m Mag-3 renal scan and microalbuminuria in detecting early stage of renal injury in patients with metabolic syndrome. A significant difference for serum cystatin-c and urinary microalbuminuria between groups was detected. Mean urinary albumin-creatinine ratio and serum cystatin-C level was significantly higher in patient with metabolic syndrome, compared to individuals in control group (26.4 ± 3.8 mg/g versus 4.9 ± 0.9 mg/g; p = 0.005 and 0.76 ± 0.07 mg/dL versus 0.59 ± 0.05 mg/dL; p = 0.002). Results of Tc99m mag–3 renal scan for both right and lest kidneys were similar (R: 49.4 ± 6.3 % versus 51.7 ± 7.1 %, p = 0.113; L: 50.8 ± 4.8 % versus 48.3 ± 5.9 %, p = 0.202). Mean serum hs-CRP (5.1 ± 0.7 mg/dL versus 1.8 ± 0.3 mg /dL; p

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ISSN: 1309-3878
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2009
Yayıncı: Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği AD adına Yrd.Doç.Dr.Cemil Işık Sönmez

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