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血液灌流对维持性血液透析患者成纤维细胞生长因子23的影响
引用本文:张军力,宦红娣,张景红,李萍,陆蓓莉,杨黄,杨峻. 血液灌流对维持性血液透析患者成纤维细胞生长因子23的影响[J]. 中国临床医学, 2009, 16(4): 594-596
作者姓名:张军力  宦红娣  张景红  李萍  陆蓓莉  杨黄  杨峻
作者单位:中国人民解放军85医院肾内科,上海,200052
摘    要:
目的:观察血液灌流(HP)对维持性血液透析(HD)患者血清成纤维细胞生长因子23(FGF-23)的影响及其可能的作用机制。方法:测定15例HD患者血液灌流前、后血清FGF-23、全段PTH(iPTH)及血清肌酐、钙、磷等指标。透析方案:血液灌流联合血液透析1次/2周,HD5次/2周,总共12次为1个疗程。结果:单次HP患者的血清肌酐水平均明显下降(P〈0.05)。HP治疗12次后患者FGF-23(88.51±35.0ng·L^-1)、血磷(87.85±33.65ng·L^-1)均明显下降。结论:血液灌流可降低HD患者FGF-23水平,改善血磷代谢。

关 键 词:成纤维细胞生长因子23  血液灌流    维持性血透

Effect of Hemoperfusion on the Level of Serum Fibroblast Growth Factor 23 in Hemodialysis Patients
ZHANG Junli,HUAN Hongdi,ZHANG Jinghong,LI Ping,LU Beili,YANG Huang,YANG Jun. Effect of Hemoperfusion on the Level of Serum Fibroblast Growth Factor 23 in Hemodialysis Patients[J]. Chinese Journal Of Clinical Medicine, 2009, 16(4): 594-596
Authors:ZHANG Junli  HUAN Hongdi  ZHANG Jinghong  LI Ping  LU Beili  YANG Huang  YANG Jun
Affiliation:ZHANG Junli HUAN Hongdi ZHANG Jinghong LI Ping LU Beili YANG Huang YANG Jun Department of Nephorology,the 85th Hospital of PLA of China,Shanghai 200052,China
Abstract:
Objective: To explore the effect of hemoperfusion on the level of werum fibroblast growth factor-23 in hemodialysis patients. Methods:Serum FGF23 was detected by enzyme-linked immunosorbent assy(ELISA) before and after hemoperfusion in a cohort of 15 HD patients. Serum intact PTH ,creatinine,calcium and phosphorus were also measured at the same time. Results: Serum FGF-23 was significantly higher in HD patients(534.50 ± 106.38pg/ml vs 11.76 ± 3.63 pg/ml). After a period of hemoperfusion, serum FGF-23 and phosphorus was much downregulated,as well as iPTH and TG. Conclusion: Serum FGF-23 is significantly downregulated after a long term of hemoperfusion. Maybe it can regulate the metabolism of phosphorus.
Keywords:Fibroblast growth factor-23  Hemoperfusion  Hemodialysis  Phosphorus  
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