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阳离子交换树脂对含钙结石患者肠道钙吸收及尿钙的影响。

Effects of a cation exchange resin on intestinal calcium absorption and urinary calcium in calcium stone formers.

作者信息

Scholz D, Schwille P O, Herzog T, Sigel A

出版信息

Urol Res. 1981;9(6):263-9. doi: 10.1007/BF00257775.

DOI:10.1007/BF00257775
PMID:7314329
Abstract

The effect on the urinary excretion of calcium of an oral cation exchange resin without phosphorus was studied in healthy control subjects and patients with recurrent calcium lithiasis under out-patient conditions. An immediate reduction of intestinal calcium absorption and urinary calcium excretion was found in five control subjects and in one patient after ingestion of resin, whereas calcium excretion remained unchanged in all other patients during long-term treatment. In addition, signs of mild transitory hyperparathyroidism together with an increase in intestinal calcium transport were observed during treatment. It is suggested that intraluminal binding of calcium ions to the resin leads to substantial changes in calcium metabolism with the result that urinary calcium excretion returns to pre-treatment values.

摘要

在门诊条件下,对健康对照受试者和复发性钙结石患者研究了不含磷的口服阳离子交换树脂对尿钙排泄的影响。在摄入树脂后,5名对照受试者和1名患者的肠道钙吸收和尿钙排泄立即减少,而在所有其他患者的长期治疗期间,钙排泄保持不变。此外,在治疗期间观察到轻度短暂性甲状旁腺功能亢进的体征以及肠道钙转运增加。提示钙离子在肠腔内与树脂结合导致钙代谢发生实质性变化,结果尿钙排泄恢复到治疗前水平。

相似文献

1
Effects of a cation exchange resin on intestinal calcium absorption and urinary calcium in calcium stone formers.阳离子交换树脂对含钙结石患者肠道钙吸收及尿钙的影响。
Urol Res. 1981;9(6):263-9. doi: 10.1007/BF00257775.
2
Cation exchange resin and calcium excretion. An experimental study.阳离子交换树脂与钙排泄。一项实验研究。
Invest Urol. 1976 Jan;13(4):307-8.
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[Long-term clinical experiences with the cation exchanger UJOLYT as a metaphylactic in absorptive hypercalciuria and chronic recurring calcium oxalate lithiasis].[阳离子交换剂UJOLYT作为吸收性高钙尿症和慢性复发性草酸钙结石病的预防用药的长期临床经验]
Z Urol Nephrol. 1983 Jul;76(7):445-51.
4
Cation exchange resin preparation in recurrent calcium urolithiasis.复发性钙尿路结石中阳离子交换树脂的制备
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The effect of cellulose phosphate on intestinal absorption and urinary excretion of calcium. Some experience in its use in the treatment of calcium stone formation.磷酸纤维素对钙的肠道吸收及尿排泄的影响。其在治疗钙结石形成方面的一些应用经验。
Br J Urol. 1974 Aug;46(4):385-92. doi: 10.1111/j.1464-410x.1974.tb10176.x.
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Failure of cation exchange resin to impair intestinal absorption of terramycin.阳离子交换树脂未能损害土霉素的肠道吸收。
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[A study of calcium metabolism in calcium-containing stone formers].[含钙结石形成者的钙代谢研究]
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[Results of clinical trials with the cation exchange preparation campanyl in the therapy and metaphylaxis of calcium-containing urinary calculi (author's transl)].阳离子交换制剂坎帕尼尔用于含钙尿路结石治疗及预防的临床试验结果(作者译)
Urologe A. 1977 Jul;16(4):197-203.
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Urinary citrate, bone resorption and intestinal alkali absorption in stone formers with fasting hypercalciuria.伴有空腹高钙尿症的结石形成者的尿枸橼酸盐、骨吸收和肠道碱吸收
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本文引用的文献

1
Activity products in stone-forming and non-stone-forming urine.形成结石和不形成结石的尿液中的活性产物。
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2
Successful treatment of recurrent nephrolithiasis (calcium stones) with cellulose phosphate.用磷酸纤维素成功治疗复发性肾结石(钙结石)
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Sodium cellulose phosphate: mechanism of action and effect on mineral metabolism.磷酸纤维素钠:作用机制及对矿物质代谢的影响
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Seasonal variations in urinary excretion of calcium.尿钙排泄的季节性变化。
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5
The effect of cellulose phosphate on intestinal absorption and urinary excretion of calcium. Some experience in its use in the treatment of calcium stone formation.磷酸纤维素对钙的肠道吸收及尿排泄的影响。其在治疗钙结石形成方面的一些应用经验。
Br J Urol. 1974 Aug;46(4):385-92. doi: 10.1111/j.1464-410x.1974.tb10176.x.
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Symposium on renal lithiasis. Medical evaluation of urolithiasis. Etiologic aspects and diagnostic evaluation.肾石病研讨会。尿石症的医学评估。病因学方面及诊断评估。
Urol Clin North Am. 1974 Jun;1(2):241-60.
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The hypercalciurias. Causes, parathyroid functions, and diagnostic criteria.高钙尿症。病因、甲状旁腺功能及诊断标准。
J Clin Invest. 1974 Aug;54(2):387-400. doi: 10.1172/JCI107774.
8
Measurement of three-hour calcium absorption by double isotope technique. A critical evaluation.用双同位素技术测量三小时钙吸收。一项批判性评估。
Neth J Med. 1975;18(5):191-204.
9
Role of the parathyroid glands in the enhancement of intestinal calcium absorption in response to a low calcium diet.甲状旁腺在低钙饮食时增强肠道钙吸收中的作用。
J Endocrinol. 1977 Sep;74(3):345-54. doi: 10.1677/joe.0.0740345.
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Influence of an orally administered calcium-binding cation exchanger on calcium metabolism in the rat.口服钙结合阳离子交换剂对大鼠钙代谢的影响。
Urol Res. 1979 Dec;7(4):277-9. doi: 10.1007/BF00256608.