Kolmakova E V
Urol Nefrol (Mosk). 1990 Jan-Feb(1):16-9.
The author examined 78 patients with chronic glomerulonephritis and verified their diagnosis on the basis of the kidney biopsy data. With regard to the severity of the tubular interstitial component the patients were enrolled in three groups. It was stated that with the increasing changes developed in the tubular interstitial component, the levels of total cholesterol, cholesterol of high density lipoproteins, low density lipoproteins and triglyceride elevated. In the group of the patients with minimal changes in the tubular interstitial component, the number of those in whom plasma lipid levels were below the upper normal limits was higher than in two other groups. A direct proportional relationship between the levels of plasma lipids and severity of the tubular interstitial component indicated the immediate role of the renal tissue in the pathogenesis of lipid turnover disorders in patients with chronic glomerulonephritis.
作者检查了78例慢性肾小球肾炎患者,并根据肾活检数据核实了他们的诊断。根据肾小管间质成分的严重程度,将患者分为三组。结果表明,随着肾小管间质成分变化的增加,总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇和甘油三酯水平升高。在肾小管间质成分变化最小的患者组中,血浆脂质水平低于正常上限的患者人数高于其他两组。血浆脂质水平与肾小管间质成分严重程度之间的直接比例关系表明,肾组织在慢性肾小球肾炎患者脂质代谢紊乱的发病机制中起直接作用。