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氢氧化铝与硫糖铝作为尿毒症磷结合剂的比较

Aluminium hydroxide versus sucralfate as a phosphate binder in uraemia.

作者信息

Leung A C, Henderson I S, Halls D J, Dobbie J W

出版信息

Br Med J (Clin Res Ed). 1983 Apr 30;286(6375):1379-81. doi: 10.1136/bmj.286.6375.1379.

DOI:10.1136/bmj.286.6375.1379
PMID:6404468
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1547820/
Abstract

In an attempt to discover a phosphate binding agent for use in uraemia that would not lead to appreciable systemic absorption of aluminium the effect of sucralfate was evaluated after three weeks and compared with that of the existing standard agent aluminium hydroxide. Sucralfate caused a decrease in serum phosphate concentration comparable with that obtained with aluminium hydroxide, but similar absorption of aluminium resulted. Sucralfate may be the phosphate binder of choice in patients with uraemia and peptic ulceration; care should be taken in using large doses of the drug in patients with normal renal function.

摘要

为了找到一种用于尿毒症的不会导致铝大量全身吸收的磷酸盐结合剂,在三周后评估了硫糖铝的效果,并与现有的标准制剂氢氧化铝进行了比较。硫糖铝使血清磷酸盐浓度降低的程度与氢氧化铝相当,但铝的吸收情况相似。硫糖铝可能是尿毒症合并消化性溃疡患者的首选磷酸盐结合剂;肾功能正常的患者使用大剂量该药物时应谨慎。

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本文引用的文献

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Serum aluminum and continuous ambulatory peritoneal dialysis.血清铝与持续性非卧床腹膜透析
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The effect of oral aluminium therapy on plasma aluminium levels in patients with chronic renal failure in an area with low water aluminium.在低水铝地区,口服铝剂治疗对慢性肾衰竭患者血浆铝水平的影响。
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Efficacy of sucralfate for duodenal ulcers: a multicenter, double-blind trial.硫糖铝治疗十二指肠溃疡的疗效:一项多中心双盲试验。
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Plasma Aluminum levels of patients on long term sucralfate therapy.长期使用硫糖铝治疗患者的血浆铝水平。
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Acute aluminium intoxication in patients on continuous ambulatory peritoneal dialysis.持续性非卧床腹膜透析患者的急性铝中毒
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7
Hyperaluminaemia from aluminum resins in renal failure.肾衰竭患者因铝树脂导致的高铝血症。
Lancet. 1970 Sep 5;2(7671):494-6. doi: 10.1016/s0140-6736(70)90113-3.
8
The dialysis encephalopathy syndrome. Possible aluminum intoxication.透析性脑病综合征。可能的铝中毒。
N Engl J Med. 1976 Jan 22;294(4):184-8. doi: 10.1056/NEJM197601222940402.
9
Composition of the domestic water supply and the incidence of fractures and encephalopathy in patients on home dialysis.家庭透析患者的生活用水成分与骨折及脑病发病率
Br Med J. 1977 Sep 10;2(6088):657-60. doi: 10.1136/bmj.2.6088.657.
10
Gastrointestinal absorption of aluminum from aluminum-containing antacids.含铝抗酸剂中铝的胃肠道吸收。
N Engl J Med. 1977 Jun 16;296(24):1389-90. doi: 10.1056/NEJM197706162962407.