Grzegorzewska A, Krzymański M, Antoniewicz K
Kliniki Nefrologii Instytutu Chorób Wewnetrznych AM im. K. Marcinkowskiego, Poznaniu.
Pol Tyg Lek. 1994;49(6-7):137-40.
This study aimed at evaluating an effect of repeated intraperitoneal furosemide administration on plasma proteins in patients with uremia given the drug to increase intermittent peritoneal dialysis efficiency. Patients (n = 6) dialysed for 48-60 hours per week furosemide was added to dialysis fluid in the dose of 1.2-2.0 g per 1 dialysis weekly for 3 months. A control group consisted of patients (n = 6) dialysed without furosemide. Plasma total proteins, albumin, total globulins, IgG, and IgA were determined in all patients. At the same time, plasma furosemide levels were monitored. A 3-month treatment with dialyses supplemented with furosemide decreased plasma protein levels especially IgG (p < 0.5) in comparison with dialyses without the drug. Furosemide plasma levels remained below ototoxic levels (over 50 micrograms/mL) during the treatment.
本研究旨在评估反复腹腔注射速尿对尿毒症患者血浆蛋白的影响,给予该药物以提高间歇性腹膜透析效率。患者(n = 6)每周透析48 - 60小时,在透析液中添加速尿,剂量为每1次透析1.2 - 2.0 g,持续3个月。对照组由未使用速尿进行透析的患者(n = 6)组成。测定所有患者的血浆总蛋白、白蛋白、总球蛋白、IgG和IgA。同时,监测血浆速尿水平。与未使用该药物的透析相比,补充速尿的透析治疗3个月可降低血浆蛋白水平,尤其是IgG(p < 0.5)。治疗期间速尿血浆水平保持在耳毒性水平(超过50微克/毫升)以下。