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[糖尿病及其他病因所致慢性肾衰竭患者血液透析治疗过程中血浆总肉碱水平]

[Level of total plasma carnitine in patients with chronic renal failure in the course of diabetes and other etiologies treated with hemodialysis].

作者信息

Gumprecht J, Snit M, Zukowska-Szczechowska E, Grzeszczak W, Moczulski D, Jendryczko A

机构信息

Katedra i Klinika Chorób Wewnetrznych i Zawodowych Sl.A.M. w Zabrzu.

出版信息

Pol Arch Med Wewn. 1995 Nov;94(5):403-9.

PMID:8833937
Abstract

In uraemic patients disturbances in carnitine metabolism are observed. Aim of the study was to assess total carnitine level in haemodialyzed patients and influence of dialyzer type on this level before, during and after haemodialysis (HD). We examined 46 patients divided into 3 groups: I--16 non-diabetic uraemic patients haemodialyzed using polysulfone dialyzer; II--10 diabetic patients haemodialyzed using polysulfone dialyzer, III--20 non-diabetic uraemic patients haemodialyzed with cuprophane dialyzer. Total plasma carnitine level was estimated using colorimetric method according to Wieland et al. Total carnitine level in diabetic haemodialyzed patients was significantly lower comparing to non-diabetic ones but in both groups a significant decrease during HD was present. Dialyzer type had no influence on carnitine elimination.

摘要

在尿毒症患者中观察到肉碱代谢紊乱。本研究的目的是评估血液透析患者的总肉碱水平以及透析器类型在血液透析(HD)前、透析期间和透析后对该水平的影响。我们检查了46例患者,分为3组:I组——16例使用聚砜透析器进行血液透析的非糖尿病尿毒症患者;II组——10例使用聚砜透析器进行血液透析的糖尿病患者;III组——20例使用铜仿膜透析器进行血液透析的非糖尿病尿毒症患者。根据维兰德等人的方法,采用比色法估算血浆总肉碱水平。与非糖尿病血液透析患者相比,糖尿病血液透析患者的总肉碱水平显著降低,但两组在血液透析期间均出现显著下降。透析器类型对肉碱清除没有影响。

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