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终末期肾功能衰竭患者血清胰多肽水平测定及其临床意义
引用本文:杨华,邓尚平,汪秀琼,许国章,黄颂敏. 终末期肾功能衰竭患者血清胰多肽水平测定及其临床意义[J]. 四川大学学报(医学版), 1993, 0(2)
作者姓名:杨华  邓尚平  汪秀琼  许国章  黄颂敏
作者单位:华西医科大学医学院内科学教研室(杨华,邓尚平,汪秀琼,许国章),华西医科大学医学院内科学教研室(黄颂敏)
摘    要:作者测定了27例终末期肾功能衰竭(ESRF)患者口服葡萄糖耐量试验(OGTT)时的血清胰多肽(SPP)水平。结果显示ESRF患者的SPP明显高于正常对照组;透析治疗不能纠正ESRF患者的高胰多肽血症;同种异体肾移植后SPP可完全恢复正常;SPP水平与血糖和血清胰岛素水平无明显相关。肾脏是胰多肽代谢的重要场所,ESRF患者SPP浓度升高与其肾功能衰竭有关,而高胰多肽血症可能是ESRF患者消化道症状的原因之一。

关 键 词:终末期肾功能衰竭  血清胰多肽

Determination of Serum Pancreatic Polypeptide and Its Clinical Significance in Patients with End State Renal Failure
Yang Hua,Deng Shangping,Wang Xiuqiong,Xu Guozhang,Huang Songmin. Determination of Serum Pancreatic Polypeptide and Its Clinical Significance in Patients with End State Renal Failure[J]. Journal of Sichuan University. Medical science edition, 1993, 0(2)
Authors:Yang Hua  Deng Shangping  Wang Xiuqiong  Xu Guozhang  Huang Songmin
Affiliation:Yang Hua;Deng Shangping;Wang Xiuqiong;Xu Guozhang;Huang Songmin Department of Internal Medicine
Abstract:Serum levels of pancreaticpolypeptide (SPP)responding to 75g glucose(oral) challenge were observed in 27 pa-tients with end state renal failure (ESRF)and 27 normal subjects as a control. The results showed that the levels ofSPP were significantly higher in ESRFpatients than in normal subjects. Dialysistherapy seemed to have no effect on thelevels of SPP. The elevated levels of SPPcould return to normality after kidneytransplantation. There was no positivecorrelation between the levels of SPP, theblood sugar. and the serum insulin. It is suggested that kidneys are theimportant sites for the metabolism of PP.The elevated SPP concentration in patientswith ESRF may result from their renalfailure, and may contribute to some gas-trointestinal symptoms which are fre-quently associated with ESRF.
Keywords:End state renal failure  Pancreatic polypeptide
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