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題 名 | Hypermagnesemia in Chronic Dialysis Patients: Influence of Diabetic Nephropathy and Relation to Serum Albumin Concentration=慢性透析病人的高鎂血症--糖尿病人的影響及與血中白蛋白濃度的關係 |
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作 者 | 黃志強; 林建任; 陳建安; 王嬋婷; | 書刊名 | 臺灣腎臟醫學會雜誌 |
卷 期 | 15:2 2001.06[民90.06] |
頁 次 | 頁49-56+88 |
分類號 | 415.668 |
關鍵詞 | 慢性尿毒症; 血液透析; 腹膜透析; 高鎂血症; 白蛋白; Chronic renal failure; Hemodialysis; CAPD; Magnesium; Albumin; |
語 文 | 英文(English) |
中文摘要 | 本研究目的是評估糖尿病之透析病人血鎂有何特殊性慢性尿毒症病人的血鎂與白蛋白濃度之關系,同時也觀察血鎂濃度與長期透析病人的存活是和有相關?本研究收集本透析中心的290位接受血液透析病人(男:女=156:134,平均年齡=56.3 ±13.3),22位CAPD病人(男:女=9:13平均年齡=48.6±12.6),也抱括64位正常腎功能之控制組(男:女=36:28,平均年齡=33.6±10.9)。糖尿病人的血中鎂離子及白蛋濃度及蛋白質分解率(Npcr)明顯較非糖尿病低(p=0.001)。單次透析並不能明顯改變血鎂的濃度(透析前:透析後=3.50±0.54/dL vs.3.56±0.50mg/dL,p=0.07)。血液透析病人的血鎂濃度明顯高於腹膜透析病人(HD:CAPD=3.50±0.54 mg/dL vs. 2.94±0.68 mg/dL,p<0.001)。無論那一種透析方式,血鎂濃度與血中白蛋白濃度都有正向之線性關系(HD:Mg=0.34×alb+2.16;r=0.29,p<0001;capd:Mg=0.53×alb+0.92;r=0.44p=0.04)。具高血銓濃度的病人(上四分之一)病低血銓濃度(下四分之一)病人存活率較高(p=0.025)血中白蛋白及nPCR也較高。結論:糖尿病人的血鎂及白蛋白濃度明顯較非糖尿病人低,這種現象可以用較差之營養狀態及慢性發炎現象來解釋。血鎂沔度可能與營養狀態有關,所以血鎂濃度與白蛋白濃度會有正相關,這種相關性會道致血鎂濃度會與慢性透析病人的存活有關連性。 |
英文摘要 | This study was to evaluate the serum concentration of magnesium (Mg) in diabetic nephropathy (DN) patients receiving maintenance dialysis, and the relationship between serum albumin (Alb) and Mg concentrations, and the influence of serum Mg concentration on the survival of dialysis patients. Two hundred and ninety hemodialysis (HD) patients (156 males and 134 females, aged 56.3±13.3 years), 22 continuous ambulatory peritoneal dialysis (CAPD) patients (9 males and 13 females, aged 48.6±12.6 years) at our center and 64 subjects with normal renal function (36 males and 28 females, aged 33.6±10.9years) were enrolled in this study. Patients with DN had significantly lower serum Mg, Alb, creatinine, normalized protein catabolism rate (nPCR) and intact parathyroid hormone(iPTH) concentrations than non-diabetics (all p<0.001). One session of HD did not alter serum Mg concentration significantly (preHD: PostHD = 3.50±0.54mg/dL vs. 3.56±0. 50 mg/dL, p = 0.07). The Mg concentration in HD patients was significantly higher than that of CAPD patients (HD:CAPD = 3.50±0.54 m/dL vs. 2.94±mg/dL, p<0.001).Serum Mg concentration was positively correlated with serum Alb in both HD (Mg=0.34,×alb + 2.16; r=0.29, p<0001)and CAPD patients (Mg = 0.53×alb +0.92; r=0.44,p=0.04). Patients with higher Mg levels (upper quartile) had better survival than those with lower Mg levels(lowest quartile)(p=0.025).Those patients with higher Mg levels were also associated with high nPCR values. In conclusion, diabetic patients had lower serum Mg, Alb concentrations and nPCR than non-diabetic ones, which may be elucidated by their sub-optimal nutrition and/or chronic inflammation status, The positive correlation of serum Mg to serum alb concentration explains the effect of serum Mg on survival in patients receiving maintenance hemodialysis. |
本系統中英文摘要資訊取自各篇刊載內容。