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血液净化对慢性肾功能衰竭患者全段甲状旁腺激素的影响
引用本文:刘俊,刘志强,陶惠琴. 血液净化对慢性肾功能衰竭患者全段甲状旁腺激素的影响[J]. 南方医科大学学报, 2004, 24(2): 234-235
作者姓名:刘俊  刘志强  陶惠琴
作者单位:第一军医大学南方医院肾内科, 广东, 广州, 510515
基金项目:收稿日期:2003-5-11。作者简介:刘俊(1962-),男,山东龙口人,1985年毕业于第一军医大学,硕士,副教授,副主任医师,电话:020-61641598
摘    要:目的 研究血液灌流和/或血液透析对慢性肾功能衰竭(CRF)患者全段甲状旁腺激素(iPTH)的影响。方法 用放射免疫测定法检测40例规律血液透析患者治疗前后iPTH水平。结果 血液灌流和/或血液透析后iPTH水平均降低,但血液灌流组降低幅度大于血液透析组(P=0.031)。结论 血液灌流加血液透析能比单纯血液透析更有效地降低CRF患者iPTH水平。

关 键 词:甲状旁腺激素  血液灌流  血液透析  肾功能衰竭  慢性
文章编号:1000-2588(2004)02-0234-02
修稿时间:2003-05-11

Effect of blood purification on plasma levels of intact parathyroid hormone in patients with chronic renal failure
LIU Jun,LIU Zhi-qiang,TAO Hui-qin. Effect of blood purification on plasma levels of intact parathyroid hormone in patients with chronic renal failure[J]. Journal of Southern Medical University, 2004, 24(2): 234-235
Authors:LIU Jun  LIU Zhi-qiang  TAO Hui-qin
Affiliation:LIU Jun,LIU Zhi-qiang,TAO Hui-qinDepartment of Nephrology,Nanfang Hospital,First Military Medical University,Guangzhou 510515,China
Abstract:Objective To study the effects of hemoperfusion and/or hemodialysis on plasma levels of intact parathyroid hormone (iPTH) in patients with chronic renal failure (CRF). Methods A total of 40 uremic patients were randomly divided into two groups to receive hemoperfusion in combination with hemodialysis (HP+HD) or exclusive hemodialysis (HD), respectively. Plasma iPTH concentration was measured by means of radio immunoassay. Results After the blood purification procedures, the patients’ plasma iPTH levels were reduced from 1 508.70±1 268.89 to 1 049.04±992.91 μg/ml (P<0.001) in HD group and from 1 600.70±1 151.15 to 745.47±785.02 μg/ml (P<0.001) in HP+HD group. Conclusion Blood purification with hemoperfusion plus hemodialysis may decrease plasma iPTH levels more efficiently than hemodialysis performed alone.
Keywords:parathyroid hormone  hemoperfusion  hemodialysis  kidney failure   chronic
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