糖化血红蛋白的检测意义论文

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豆丁网是面向全球的中文社会化阅读分享平台，拥有商业,教育,研究报告,行业资料,学术论文,认证考试,星座, ... 血清C肽与糖化血红蛋白检验在糖尿病诊断价值.docx

浅谈糖化血红蛋白的检测意义

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研究发现,2型糖尿病患者糖化血红蛋白( HbA1c)指标能够反映患者近3个月的血糖控制情况[1-2].大量临床研究证实,HbA1c可作为糖尿病患者长期血糖控制的最佳指标,

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[摘 要] 目的 探究糖化血红蛋白(HbA1c)检测对糖尿病患者的临床意义.方法 对该院2015年1月—2016年12月收治的45例糖尿病患者和接受体检的45名健康者进行调查研

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红细胞在血循环中的平均寿命大约为120天,因此糖化血红蛋白在总血红蛋白中所占的比例,能够反映取样前8-12周的平均血糖水平。作为阶段性血糖反应的指标与碘值可以相互补充,作为","subtitleWithAvatar":[{"text":"侯旭 主任医师 山东省立医院 三甲 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相对来说，糖化血红蛋白的敏感性更高，因此准确检测患者糖化血红蛋白水平具有非常重要的意义[4]。我们此次研究，采用糖化血红蛋白检测技术对患者糖化血红

检验糖化血红蛋白的意义

检验糖化血红蛋白的意义 糖化血红蛋白是葡萄糖或其它糖与血红蛋白的氨基发生非酶催化反应的产物,它的量与血糖浓度呈现正相关。血糖控制不良者糖化血红蛋白升高,并与血糖升高","subtitleWithAvatar":[{"text":"胡伟 主任医师 首都医科大学宣武医院 三甲 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\u0001糖化\u0001血红\u0001蛋白\u0001是\u0001葡萄\u0001糖\u0001或\u0001其它\u0001糖\u0001与\u0001血红\u0001蛋白\u0001的\u0001氨基\u0001发生\u0001非\u0001酶\u0001催化\u0001反应\u0001的\u0001产物\u0001,\u0001它\u0001的\u0001量\u0001与\u0001血糖\u0001浓度\u0001呈现\u0001正\u0001相关\u0001。\u0001血糖\u0001控制\u0001不良\u0001者\u0001糖化\u0001血红\u0001蛋白\u0001升高\u0001,\u0001并\u0001与\u0001血糖\u0001升高\u0001的\u0001程度\u0001和\u0001持续\u0001时间\u0001密切\u0001相关\u0001。\u0001由于\u0001红\u0001细胞\u0001在\u0001血\u0001循环\u0001中\u0001的\u0001寿命\u0001约\u0001为\u0001120\u0001天\u0001\u0001","replaced":"糖化血红蛋白是葡萄糖或其它糖与血红蛋白的氨基发生非酶催化反应的产物，它的量与血糖浓度呈现正相关。血糖控制不良者糖化血红蛋白升高，并与血糖升高的程度和持续时间密切相关。由于红细胞在血循环中的寿命约为120天，因此糖化血红蛋白反映患者8-12周平均血糖水平。糖化血红蛋白也受检测方法、是否有贫血、血红蛋白异常疾病、红细胞转换速度、年龄等诸多因素的影响。另外，糖化血红蛋白不能反映瞬时血糖水平以及血糖波动的情况，也不能确定是否发生过低血糖。如果我们测定糖化血红蛋白方法规范，而且有很好的指控，国外使用糖化血红蛋白作为诊断糖尿病的标准。通过测定糖化血红蛋白结合空腹血糖和餐后两小时血糖。如果血糖非常高，糖化也非常高，说明糖尿病患者存在着明显的糖毒性，可能在治疗方案上可以采用像强化的治疗，使用药物或胰岛素尽快纠正糖毒性，改善胰岛功能。如果监测糖尿病人的病情，空腹血糖或餐后血糖波动比较大，这种情况糖化血红蛋白可能就不能够完全反应病情，需要结合糖化白蛋白以及空腹餐后血糖的测定，才能全面了解病情的控制。"},"meta_di_info":[],"official_struct_abstract":{"from_flag":"disp_site","office_name":"有来医生网"},"site_region":"0","src_id":"6899_6547","trans_res_list":["medical_struct_abstract","official_struct_abstract"],"ulangtype":1,"ti_qu_related":0.66482032086299,"templateName":"se_st_default","StdStg_new":1599,"disp_summary_lat":"1","wise_search":false,"DispUrl":"m.baidu.com/bh/m/detail/vc_11916213845607665348","is_valid":1,"brief_download":"0","brief_popularity":"0","material_data":{"material_sign1":"3160141179","material_sign2":"1104644625","material_list":[{"key":"nid","value":"0"},{"key":"thread_id","value":"0"}]},"rtset":1600099200,"timeHighlight":1,"cambrian_us_showurl":{"logo":"NULL","title":"有来医生网"},"is_us_showurl":1,"site_sign":"6377359900320292902","url_sign":"13572703015652526609","strategybits":{"OFFICIALPAGE_FLAG":0},"resultData":{"tplData":{"footer":{"footnote":{"source":{"img":null,"source":"有来医生网"}}},"groupOrder":6,"ttsInfo":{"supportTts":true,"ttsSourceType":"default","titleUrl":"https://m.baidu.com/bh/m/detail/vc_11916213845607665348","srcid":1599,"tplName":"se_com_default","ext":"{\"source\":\"oh5\",\"lid\":\"bc055b1c0000d6d6\",\"title\":\"%E6%A3%80%E9%AA%8C%E7%B3%96%E5%8C%96%E8%A1%80%E7%BA%A2%E8%9B%8B%E7%99%BD%E7%9A%84%E6%84%8F%E4%B9%89-%E6%9C%89%E6%9D%A5%E5%8C%BB%E7%94%9F\",\"url\":\"https%3A%2F%2Fm.baidu.com%2Fbh%2Fm%2Fdetail%2Fvc_11916213845607665348\"}","extId":"8740746f7af1b33dd5568d75f1b6ec36"}},"resData":{"tplt":"se_com_default","tpl_sys":"san","env":"pc"},"url_trans_feature":{"antispam_url_ctrl":"0","antispam_chutu_ctrl":"0","struct_cont_sign":"7940651805059860424","struct_simhash":"14858631503191214154","cont_sign":"1442832315","cont_simhash":"11828185773087422120","page_classify_v2":"9223372036854775810","m_self_page":"0","m_page_type":"0","rtse_news_site_level":"0","rtse_scs_news_ernie":"-1","rtse_news_sat_ernie":"0","rtse_event_hotness":"0","f_event_score":"2","f_prior_event_hotness":"100","spam_signal":"490892634261292032","time_stayed":"0","gentime_pgtime":"1600099200","day_away":"909","ccdb_type":"0","nid":"0","thread_id":"0"}},"strategy":{"tempName_ori":null,"tempName":"se_com_default","type":"result","mapping":null,"tpl_sys":"san","module":"aladdin-san"},"source_name":"有来医生网","posttime":"2020年9月15日","belonging":{"list":"asResult","No":6,"templateName":"se_com_default"},"subtitleWithAvatar":[{"text":"胡伟 主任医师 首都医科大学宣武医院 三甲 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糖化血红蛋白HbA1c测定原理方法及临床意义

Bio-RadD-10TM糖化血红蛋白检测系统 糖化血红蛋白是反映血液中葡萄糖水平的一个中长期指标，国际上通常将其作为糖尿病血糖控制的“金标准”，对预示微小血管