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铝对血液透析患者甲状旁腺激素水平的影响。

The influence of aluminium on parathyroid hormone levels in haemodialysis patients.

作者信息

Cannata J B, Briggs J D, Junor B J, Beastall G, Fell G S

出版信息

Proc Eur Dial Transplant Assoc. 1983;19:244-7.

PMID:6878239
Abstract

In order to investigate the relationship between parathyroid hormone (PTH) and aluminium we studied 86 haemodialysis patients whom we separated into three groups according to their serum PTH values. Group I: PTH less than 600ng/L; Group II: PTH 600-900ng/L; Group III: PTH greater than 900ng/L. A significant difference was found between Groups I and III in the serum aluminium (Group I: 4.85 mumol/L; Group III: 2.84 mumol/L, p less than 0.003) and serum calcium (Group I: 2.43mmol/L; Group III: 2.32mmol/L, p less than 0.0125). The association of higher serum aluminium and calcium with lower PTH concentrations suggests that aluminium can suppress PTH release through an elevation of the serum calcium.

摘要

为了研究甲状旁腺激素(PTH)与铝之间的关系,我们对86例血液透析患者进行了研究,并根据他们的血清PTH值将其分为三组。第一组:PTH低于600ng/L;第二组:PTH为600 - 900ng/L;第三组:PTH高于900ng/L。在血清铝(第一组:4.85μmol/L;第三组:2.84μmol/L,p小于0.003)和血清钙(第一组:2.43mmol/L;第三组:2.32mmol/L,p小于0.0125)方面,第一组和第三组之间存在显著差异。血清铝和钙升高与较低的PTH浓度相关,这表明铝可以通过升高血清钙来抑制PTH的释放。

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