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噻嗪类药物对镁和钙代谢以及继发的磷、尿酸、草酸盐和环磷酸腺苷代谢的短期影响

[Short-term effect of thiazides on magnesium and calcium metabolism and secondarily on that of phosphorus, uric acid, oxalate and cyclic AMP].

作者信息

Hodler J, Roulin F, Haldimann B

出版信息

Nephrologie. 1983;4(2):60-3.

PMID:6308488
Abstract

Six healthy young volunteers were fed during two period of 9 days each by a strictly constantly liquid formula diet (Fresubin), on an ambulator basis. In a single blind cross-over randomized study, they were given either hydrochlorothiazide, 50 mg p.d., or a placebo during the first seven days of the two periods. The diuretic did not induce significant changes of either magnesemia or magnesiuria. In addition, the magnesium excretion after a challenging intravenous magnesium load remained unchanged. However, the thiazide normally increased the urinary excretion of sodium and potassium. It also induced hypocalciuria and hypercalcemia. The urinary excretion of cAMP and oxalic acid remained stable.

摘要

六名健康的年轻志愿者在门诊基础上,分两个为期9天的阶段接受严格的常量流质配方饮食(能全力)喂养。在一项单盲交叉随机研究中,在两个阶段的前七天,他们分别服用每日50毫克的氢氯噻嗪或安慰剂。利尿剂并未引起血镁或尿镁的显著变化。此外,静脉注射镁负荷激发后的镁排泄量保持不变。然而,噻嗪类药物通常会增加钠和钾的尿排泄量。它还会导致尿钙减少和血钙升高。环磷酸腺苷和草酸的尿排泄量保持稳定。

相似文献

1
[Short-term effect of thiazides on magnesium and calcium metabolism and secondarily on that of phosphorus, uric acid, oxalate and cyclic AMP].噻嗪类药物对镁和钙代谢以及继发的磷、尿酸、草酸盐和环磷酸腺苷代谢的短期影响
Nephrologie. 1983;4(2):60-3.
2
Prevention of thiazide-induced hypokalemia without magnesium depletion by potassium-magnesium-citrate.用枸橼酸钾镁预防噻嗪类药物引起的低钾血症且不伴有镁缺乏
Am J Ther. 2006 Mar-Apr;13(2):101-8. doi: 10.1097/01.mjt.0000149922.16098.c0.
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Gender effect on diuretic response to hydrochlorothiazide and furosemide.性别对氢氯噻嗪和呋塞米利尿反应的影响。
Int J Clin Pharmacol Ther. 1996 Mar;34(3):101-5.
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Interrelationships among thiazide diuretics and calcium, magnesium, sodium, and potassium balance in normal and hypertensive man.
J Clin Pharmacol. 1978 Nov-Dec;18(11-12):530-43. doi: 10.1002/j.1552-4604.1978.tb01582.x.
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[Effects of thiazide diuretics on the regulation mechanisms of calcium and phosphorus metabolism].噻嗪类利尿剂对钙磷代谢调节机制的影响
Minerva Nefrol. 1979 Oct-Dec;26(4):549-52.
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Thiazides reduce brushite, but not calcium oxalate, supersaturation, and stone formation in genetic hypercalciuric stone-forming rats.噻嗪类药物可降低遗传性高钙尿结石形成大鼠的透钙磷石过饱和度,但不能降低草酸钙过饱和度及结石形成。
J Am Soc Nephrol. 2005 Feb;16(2):417-24. doi: 10.1681/ASN.2004070543. Epub 2005 Jan 12.
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Reduction of urine oxalate during long-term thiazide therapy in patients with calcium urolithiasis.噻嗪类药物长期治疗对含钙尿路结石患者尿草酸的降低作用。
Invest Urol. 1980 Sep;18(2):170-3.
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Hydrochlorothiazide versus spironolactone: long-term metabolic modifications in patients with essential hypertension.氢氯噻嗪与螺内酯对比:原发性高血压患者的长期代谢改变
J Clin Pharmacol. 1991 May;31(5):455-61. doi: 10.1002/j.1552-4604.1991.tb01903.x.
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The effects of antihypertensive combination therapy on lipid and glucose metabolism: hydrochlorothiazide plus sotalol vs. hydrochlorothiazide plus captopril.降压联合治疗对脂质和葡萄糖代谢的影响:氢氯噻嗪加索他洛尔与氢氯噻嗪加卡托普利的对比
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A randomized trial of furosemide vs hydrochlorothiazide in patients with chronic renal failure and hypertension.一项关于呋塞米与氢氯噻嗪治疗慢性肾衰竭合并高血压患者的随机试验。
Nephrol Dial Transplant. 2005 Feb;20(2):349-53. doi: 10.1093/ndt/gfh650. Epub 2004 Dec 22.

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