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口服锌治疗对血液透析男性患者性激素水平的影响。

Impact of oral zinc therapy on the level of sex hormones in male patients on hemodialysis.

机构信息

Urology Nephrology Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Ren Fail. 2010 May;32(4):417-9. doi: 10.3109/08860221003706958.

Abstract

BACKGROUND

Sexual dysfunction in chronic renal failure patients undergoing hemodialysis is common. It is demonstrated that the zinc level is significantly lower in the hemodialysis patients.

OBJECTIVE

In this clinical trial, we investigate the effect of zinc supplement therapy on the serum levels of sexual hormones in hemodialysis male patients.

PATIENTS AND METHODS

We carried out a clinical trial study including 100 of our male patients with end-stage renal disease on hemodialysis. Testosterone, follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and zinc plasma level were measured in all of the patients. The patients received zinc supplement (zinc sulfate, 250 mg/day) for 6 weeks, and sex hormones and zinc plasma level were checked again.

RESULTS

Serum level of FSH and prolactin did not have any significant changes before and after intervention, but serum level of testosterone, LH, and zinc increased significantly.

DISCUSSION

These results suggest that although zinc administration did not have a definite effect on hemodialysis patients with sexual dysfunction, it can cause increase in the serum level of sex hormones which may improve the sexual function of the patients in some aspects.

摘要

背景

接受血液透析的慢性肾衰竭患者常伴有性功能障碍。有研究表明,血液透析患者的锌水平显著降低。

目的

本临床试验旨在研究补锌治疗对血液透析男性患者血清性激素水平的影响。

患者与方法

我们进行了一项临床试验研究,纳入了 100 例终末期肾病行血液透析的男性患者。所有患者均检测了睾酮、卵泡刺激素(FSH)、黄体生成素(LH)、催乳素和血浆锌水平。患者接受硫酸锌(250 mg/天)补充治疗 6 周,再次检测性激素和血浆锌水平。

结果

干预前后,血清 FSH 和催乳素水平无明显变化,但血清睾酮、LH 和锌水平显著升高。

讨论

这些结果提示,虽然补锌治疗对伴有性功能障碍的血液透析患者无明确疗效,但可引起血清性激素水平升高,从而在某些方面改善患者的性功能。

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