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腹透液中的葡萄糖浓度与 CAPD 患者的血脂谱无关。

Glucose concentration in the dialysate does not contribute to lipid profiles in patients undergoing CAPD.

机构信息

Department of Nephrology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, PR China.

出版信息

Ren Fail. 2011;33(2):124-30. doi: 10.3109/0886022X.2010.541580.

Abstract

The aim of this study was to investigate lipid profiles in patients with end-stage renal disease receiving hemodialysis (HD), continuous ambulatory peritoneal dialysis (CAPD), or no dialysis (nondialytic treatment group, NT), and to analyze the association between dyslipidemia in CAPD patients with glucose-containing dialysate dosages. Lipid profiles were determined in 64 NT patients, 62 HD patients, and 180 CAPD patients at a single time point. NT patients' samples were collected following hospitalization due to renal failure. HD and CAPD patients' samples were collected after 3 months of dialysis. The association between lipid profiles of 180 CAPD patients and glucose-containing dialysate was analyzed using Pearson methods; 76.56% of NT patients, 66.13% of HD patients, and 72.22% of CAPD patients had dyslipidemia. Compared with NT patients, CAPD patients had significantly altered levels of cholesterol, triglycerides, high-density lipoprotein, apolipoproein (Apo)-A1, and Apo-E (p < 0.05), but unchanged levels of low-density lipoprotein or Apo-B. There was no correlation between the three different concentrations of glucose in the dialysate with the lipid profile of CAPD patients. We concluded that patients on CAPD exhibit dyslipidemia, and that different concentrations of glucose in the dialysate do not affect lipid profiles in these patients.

摘要

本研究旨在调查接受血液透析(HD)、持续不卧床腹膜透析(CAPD)或无透析(非透析治疗组,NT)的终末期肾病患者的脂质谱,并分析 CAPD 患者中含葡萄糖透析液剂量与血脂异常之间的关系。在一个时间点,对 64 名 NT 患者、62 名 HD 患者和 180 名 CAPD 患者进行了脂质谱检测。NT 患者的样本是在因肾衰竭住院后采集的。HD 和 CAPD 患者的样本是在透析 3 个月后采集的。采用 Pearson 方法分析 180 名 CAPD 患者的脂质谱与含葡萄糖透析液之间的关系;76.56%的 NT 患者、66.13%的 HD 患者和 72.22%的 CAPD 患者存在血脂异常。与 NT 患者相比,CAPD 患者的胆固醇、甘油三酯、高密度脂蛋白、载脂蛋白(Apo)-A1 和 Apo-E 水平明显改变(p<0.05),而低密度脂蛋白或 Apo-B 水平不变。透析液中三种不同浓度的葡萄糖与 CAPD 患者的脂质谱之间没有相关性。我们得出结论,CAPD 患者存在血脂异常,透析液中不同浓度的葡萄糖不会影响这些患者的脂质谱。

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