Tsekova D, Tsachev K, Gruev I, Pina S
Vutr Boles. 1990;29(3):69-73.
The serum copper, zinc, selenium and magnesium levels were studied in 37 patients with chronic renal failure of various degree. The examination of the oligoelements and magnesium was performed on flame and electrothermal atomic absorption spectrophotometry. Reference values from 345 clinically healthy persons were used in the interpretation of the results. The serum, zinc, selenium and magnesium concentrations are lowered and the differences are statistically significant (for zinc p less than 0.01, selenium--p less than 0.001, magnesium--p less than 0.05). These changes are not directly related to the degree of impairment of the excretory renal function. The serum copper concentrations are statistically significantly elevated and this correlates with the degree of impairment of the excretory renal function. The possible pathogenetic mechanisms of these changes are discussed.
对37例不同程度慢性肾功能衰竭患者的血清铜、锌、硒和镁水平进行了研究。采用火焰和电热原子吸收分光光度法检测微量元素和镁。结果解读采用了345名临床健康者的参考值。血清锌、硒和镁浓度降低,差异具有统计学意义(锌p<0.01,硒p<0.001,镁p<0.05)。这些变化与肾脏排泄功能受损程度无直接关系。血清铜浓度在统计学上显著升高,且与肾脏排泄功能受损程度相关。讨论了这些变化可能的发病机制。