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[左旋肉碱长期治疗对血液透析患者血脂异常的影响]

[Effects of long-term treatment with L-carnitine on dyslipemia in hemodialysis patients].

作者信息

Dionisio P, Bergia R, Caramello E, Graziola M, Valenti M, Bajardi P, Barbera L, Voglino F

出版信息

Minerva Med. 1985 Feb 18;76(6):229-34.

PMID:3974937
Abstract

The effect of long-term intravenous administration of L-carnitine on the lipid pattern of 18 patients on intermittent haemodialysis has been evaluated. Serum levels of carnitine were assayed at the beginning and after 4 months of treatment: no significant change was observed. At the end of our investigation, we found a significant reduction of HDL-cholesterol and a significant increase of triglyceride levels, compared with basal values. On the contrary cholesterol levels did not change. Five of the patients though behaved as responders to the treatment: their triglyceride levels decrease while their carnitine values rose significantly. The Authors discuss the therapeutic importance of L-carnitine and its possible influence on dyslipaemia of uremic haemodialysed patients.

摘要

评估了长期静脉注射左旋肉碱对18例间歇性血液透析患者血脂模式的影响。在治疗开始时和治疗4个月后测定了血清肉碱水平:未观察到显著变化。在我们的研究结束时,与基础值相比,我们发现高密度脂蛋白胆固醇显著降低,甘油三酯水平显著升高。相反,胆固醇水平没有变化。不过,有5例患者对治疗有反应:他们的甘油三酯水平下降,而肉碱值显著上升。作者讨论了左旋肉碱的治疗重要性及其对尿毒症血液透析患者血脂异常的可能影响。

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