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[胰岛素治疗对终末期肾衰竭患者红细胞胰岛素受体活性的影响]

[The effect of insulin therapy on erythrocyte insulin receptor activity in patients with terminal kidney failure].

作者信息

Tychka I B, Zahraĭ L B

出版信息

Lik Sprava. 1998 Oct-Nov(7):80-2.

Abstract

Levels of insulin-carrying erythrocytes (ICE) were studied in 30 patients as was a concentration of immunoreactive insulin in 36 patients with chronic renal insufficiency in pre- and postdialysis period as well as after insulinization. A decrease in ICE counts was noted in patients as compared with donors. In the prehemodialysis period, 38.8 percent of the examined patients revealed hyperinsulinemia that during the process of hemodialysis returned to normal, having become attenuated in some cases to hypoinsulinemia values. Insulinization in anabolic dosages made for improvement in metabolism and insulin receptor activity of erythrocytes.

摘要

对30例患者的携带胰岛素红细胞(ICE)水平进行了研究,同时对36例慢性肾功能不全患者在透析前、透析后以及胰岛素治疗后的免疫反应性胰岛素浓度进行了研究。与捐献者相比,患者的ICE计数有所下降。在血液透析前期,38.8%的受检患者出现高胰岛素血症,在血液透析过程中恢复正常,在某些情况下甚至减弱至低胰岛素血症水平。给予合成代谢剂量的胰岛素可改善红细胞的代谢和胰岛素受体活性。

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