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[镁在钙性肾结石的生理病理学及治疗中的作用]

[Role of magnesium in the physiopathology and treatment of calcium renal lithiasis].

作者信息

Labeeuw M, Pozet N, Zech P, Traeger J

出版信息

Presse Med. 1987;16(1):25-7.

PMID:2949294
Abstract

The inhibitory effect of magnesium on the first stages of renal calcium stone formation is modest in vitro and more pronounced in experimental in vivo studies. Magnesium deficiency has not yet been convincingly demonstrated in man. However, urinary magnesium concentrations are abnormally low in relation to urinary calcium concentrations in more than 25% of patients with kidney stones. A supplementary magnesium intake corrects this abnormality and prevents the recurrence of stones. Magnesium seems to be as effective against stone formation as diuretics. The modalities of magnesium therapy still have to be determined and its results to be confirmed. Magnesium, possibly added to drinking water, may well play a role in the primary prevention of renal calcium stones.

摘要

镁对肾钙结石形成早期阶段的抑制作用在体外实验中较为适度,而在体内实验研究中更为显著。人体中尚未令人信服地证明存在镁缺乏的情况。然而,超过25%的肾结石患者尿镁浓度相对于尿钙浓度异常低。补充镁摄入量可纠正这种异常并预防结石复发。镁在预防结石形成方面似乎与利尿剂同样有效。镁疗法的具体方式仍有待确定,其效果也有待证实。镁可能添加到饮用水中,很可能在肾钙结石的一级预防中发挥作用。

相似文献

1
[Role of magnesium in the physiopathology and treatment of calcium renal lithiasis].[镁在钙性肾结石的生理病理学及治疗中的作用]
Presse Med. 1987;16(1):25-7.
2
Dietary treatment of urinary risk factors for renal stone formation. A review of CLU Working Group.肾结石形成的尿液危险因素的饮食治疗。CLU工作组综述
Arch Ital Urol Androl. 2015 Jul 7;87(2):105-20. doi: 10.4081/aiua.2015.2.105.
3
[The role of magnesium in the origin of reno-urinary calcium oxalate lithiasis].[镁在肾-尿路草酸钙结石形成中的作用]
Rev Pediatr Obstet Ginecol Pediatr. 1980 Oct-Dec;29(4):355-62.
4
Magnesium metabolism. Studies in health, primary hyperparathyroidism and renal stone disease.镁代谢。健康、原发性甲状旁腺功能亢进症及肾结石疾病的研究。
Scand J Urol Nephrol Suppl. 1979(51):1-48.
5
Effects of magnesium hydroxide in renal stone disease.氢氧化镁在肾结石疾病中的作用。
J Am Coll Nutr. 1982;1(2):179-85. doi: 10.1080/07315724.1982.10718985.
6
Biochemical and clinical effects of the prophylactic treatment of renal calcium stones with magnesium hydroxide.氢氧化镁预防性治疗肾钙结石的生化及临床效果
J Urol. 1980 Dec;124(6):770-4. doi: 10.1016/s0022-5347(17)55655-4.
7
Magnesium in kidney diseases. A review.肾脏疾病中的镁。综述。
Magnes Res. 1988 Dec;1(3-4):187-202.
8
Urinary excretion of calcium and magnesium in patients with calcium-containing renal stones.含钙肾结石患者钙和镁的尿排泄情况。
Lancet. 1967 Nov 4;2(7523):958-61. doi: 10.1016/s0140-6736(67)90795-7.
9
Magnesium metabolism in renal stone formers. Effects of therapy with magnesium hydroxide.肾结石患者的镁代谢。氢氧化镁治疗的效果。
Scand J Urol Nephrol Suppl. 1980;53:125-34.
10
Responses to hydrochlorothiazide and acetazolamide in patients with calcium stones. Evidence suggesting a defect in renal tubular function.钙结石患者对氢氯噻嗪和乙酰唑胺的反应。提示肾小管功能缺陷的证据。
N Engl J Med. 1980 Mar 27;302(13):709-13. doi: 10.1056/NEJM198003273021302.

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1
The risk of nephrolithiasis with oral calcium supplementation.口服补钙导致肾结石的风险。
Calcif Tissue Int. 1991 Feb;48(2):69-73. doi: 10.1007/BF02555868.