Arije A, Erasmus R T, Anjorin S A
Department of Medicine, Faculty of Health Sciences, University of Ilorin, Kwara State, Nigeria.
Cent Afr J Med. 1993 Oct;39(10):211-5.
Plasma lipids and lipoprotein-cholesterol profiles were studies in 11 consecutive patients (eight females and three males) with the nephrotic syndrome (NS) during a short term treatment with high dose prednisolone. A significant fall from the high mean pre-treatment levels of total cholesterol and LDL-cholesterol was demonstrated at four, eight and 12 weeks of treatment (p < 0.005) while the fall in the mean triglyceride level only became significant at eight weeks (p < 0.01). The mean HDL-cholesterol level did not change significantly throughout, although there was a significant rise in the mean HDL-cholesterol total cholesterol ratio at four weeks (p = 0.01) and at both eight and 12 weeks (p < 0.005). The study has demonstrated a significant improvement in the lipids and lipoprotein-cholesterol profile of patients with the nephrotic syndrome during a shortterm high dose steroid treatment.
对11例连续性肾病综合征(NS)患者(8例女性,3例男性)在大剂量泼尼松龙短期治疗期间的血浆脂质和脂蛋白胆固醇谱进行了研究。治疗4周、8周和12周时,总胆固醇和低密度脂蛋白胆固醇的平均治疗前高水平显著下降(p<0.005),而甘油三酯平均水平仅在8周时显著下降(p<0.01)。尽管在4周(p=0.01)、8周和12周(p<0.005)时高密度脂蛋白胆固醇与总胆固醇的平均比值显著升高,但高密度脂蛋白胆固醇的平均水平在整个过程中没有显著变化。该研究表明,肾病综合征患者在短期大剂量类固醇治疗期间,其脂质和脂蛋白胆固醇谱有显著改善。