頁籤選單縮合
題 名 | Serum Amylase and Lipase in Dialysis Patients: Effect of Ultrafiltration=超過濾作用對透析病人血清胰臟粉酶及脂肪酶之影響 |
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作 者 | 黃志強; 陳建安; 林建任; 王嬋婷; 蔡重吉; | 書刊名 | 中華民國腎臟醫學會雜誌 |
卷 期 | 11:2 1997.06[民86.06] |
頁 次 | 頁87-92+112 |
分類號 | 415.74 |
關鍵詞 | Amylase; Lipase; Pancreatitis; Renal failure; Ultrafiltration rate; |
語 文 | 英文(English) |
英文摘要 | A total of 289 hemodialysis (HD) patients without clinical manifestation of acute pancreatitis were enrolled in the study to evaluate the effects of the total ultrafiltration rate during hemodialysis on the serum amylase and lipase levels. We also investigated the discrepancy between HD and continuous ambulatory peritoneal dialysis (CARD, n=24) patients in these two enzymes. Ninety five percent of PreHD-Amylase were below 500U/L and 95% of PreHD-Lipase below 850U/L. There were linear relationships between serum lipase and serum amylase both before and after HD (pre-HD; r=0.57, p<0.001; post-HD; r=0.55, p<0.001). There were no gender differences in serum amylase and lipase both pre- and post-HD (all p>0.05). One session of HD would effectively elevate serum amylase (248.2��126.7U/L vs. 276.4��140.4U/L, p<0.001) hut not the serum lipase level (358.8��253.8U/L vs. 361.8��236.5U/L, p=0.74). The extent of UF showed a significantly positive influence on the elevation of serum amylase after HD, but no similar trend was noted in serum lipase activity. Patients with a longer history of HD (top quartile, n=72 vs. bottom quartile, n=72) would have higher PreHD-Amylase (285.6��22.4U/L vs. 234.1 37.9U/L, p<0.05) and PostHD-Amylase (326.5 52.7U/L vs. 249.6��42.4U/L, p<0.01). They also had higher levels ofpredialytic blood urea nitrogen and creatinine. The length of HD history did not affect the levels of PreHD- and PostHD-Lipase. There were no significant differences between the data of HD and CAPD patients in PreHD-Amylase (248.2��126.7U/L vs. 202.0@86.0U/L, p=0.08), PreHD-lipase (358.8��253.8U/L vs. 386.6��242.7U/L, p=0.61) and PostHD-Lipase 361.8��236.5U/L vs. 386.6��242.7U/L, 0.62), but PostHD-Amylase was much higher in HD patients than in CAPD patients (276.4��140.4U/L vs. 202.0U/L��86.0U/L, p=0.01). We did not find any linear correlation between serum amylase and intact parathyroid hormone levels (r=0.13, p=0.03). This study demonstrated that hemodialysis, by the effect of ultrafiltration, would elevate serum amylase level rather than lipase activity. Although impaired renal function raised both serum amylase and lipase levels, the degree of serum amylase rather than lipase elevation correlated better with the length of HD duration. This implies that renal excretion plays a less important role in lipase metabolism than does amylase. |
本系統中英文摘要資訊取自各篇刊載內容。