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持续非卧床腹膜透析对尿毒症患者微量元素的影响 被引量:2

The Influence of Continuous Ambulatory Peritoneal Dialysis on the Trace Elements in Uremic Patients
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摘要 目的探讨持续非卧床腹膜透析(CAPD)对尿毒症患者微量元素的影响。方法用火焰及无火焰原子吸收法检测30例尿毒症患者行持续非卧床腹膜透析前及透析1月后血清铜、锌、铁的含量及腹膜透析透出液中铜、锌、铁、钙、镁、磷、钾元素的含量,分析腹膜透析前后尿毒症患者血清及透出液中微量元素的变化。结果尿毒症患者透析后血清铁及锌的浓度均明显高于透析前(P<0.05),而血清铜透析前后无明显差异(P>0.05)。腹膜透析透出液中铜、锌、镁、钾、钙、磷含量透析前后有显著性差异(P<0.05),而腹膜透析透出液中铁浓度透析前后无明显差异(P>0.05)。结论经CAPD治疗后尿毒症患者铜、锌、铁、磷、钾的异常代谢可得到部分纠正。 Objective To explore the influence of continuous ambulatory peritoneal dialysis (CAPD) on the trace-elements in uremic patients. Methods 30 CAPD patients were included in the study. Analyze the Cu^+2, Zn^+2, Fe^+2 in serum and Cu^+2, Zn^+2, Fe^+2, Ca^+2, Mg^+2, P^+3, K^+1 in dialysate before and one month after CAPD. Results In serum, the Zn^+2 and Fe^+2 before CAPD were higher than those after CAPD(P〈0. 05),while the Cu^+2 was no statistical difference in uremic patients. In dialysate, there were statistical differences in Cu^+2, Zn^+2, Mg^+2 , K^+1 , Ca^+2 and P^+3 in CAPD patients preand-post CAPD(P〈0. 05), while Fe^+2 was no difference(P〈0. 05). Conclusion CAPD can improve the malcatabolism of Zn^+2, Ca^+2, Fe^+2, P^+3 and K^+1 in uremic patients.
出处 《咸宁学院学报(医学版)》 2005年第6期490-491,共2页 Journal of Xianning Univarsity(medical Sciences)
关键词 尿毒症 持续非卧床腹膜透析 透出液 微量元素 Uremia Continuous ambulatory peritoneal dialysis Dialysate Trace elements
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