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- 由2004年臺灣北部--醫學中心血漿交換經驗談血漿析離之發展趨勢
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題 名 | 雙重過濾血漿析離療法之血液學變化--每日及隔日療法之比較=Hematological Changes in Double Filtration Plasmapheresis--Daily Versus Alternate Day Schedule |
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作 者 | 葉建宏; 邱浩彰; | 書刊名 | 臺灣醫學 |
卷 期 | 3:1 1999.01[民88.01] |
頁 次 | 頁1-7 |
分類號 | 414.7 |
關鍵詞 | 血漿析離術; 雙重過濾血漿析離術; 吸附血漿析離術; 血漿交換; 血清蛋白質清除率; Plasmapheresis; Double filtration plasmapheresis; Adsorption plasmapheresis; Plasma exchange; Reduction rate for serum protein; |
語 文 | 中文(Chinese) |
中文摘要 | 血漿析離術可以除去血漿中之物質而達到治療各類相關疾病之目的。我們以5次 治療為一療程之雙重過濾血漿析離術治療了46位病人,包括35例重症肌無力,10例急性神 經炎及1例急性進行性腎綵球腎炎。根據析離治療間隔分成每日療法組及隔日療法組,兩 組各23人。在每個療程前及療程後,皆抽血檢驗其血中蛋白質,包括白球白、球蛋白、免 疫球蛋白(Ig)G、IgA、IgM、膽固醇、低密度脂蛋白、高密度脂蛋白,及三酸甘油脂和血 球計數;並比較兩組間物質清除率之差異。平均血清蛋白質清除率而言,不論是膽固醇( 77% vs. 62.2%),IgA(78.9 vs. 68.8%),IgM(93.4% vs. 81.8%),IgG(67.5% vs. 57. 3%)或是球蛋白(57% vs. 49%)在每日療法組皆略高於隔日療法組。至於血球計數,白蛋白 、脂蛋白及三酸甘油脂部分,兩組間未見明顯差異。全部療程中除23%病人出現低血壓外 ,其餘皆相當地安全。我們研究的結果顯示以血清學上影響而言,每日療法之血漿析離術 在治療免疫相關疾病上似乎是較有效的。 |
英文摘要 | Plasmapheresis is effective in various disease states by its reimoval of plasma solutes. We treated 46 patients with immune-unediated diseases includin. myasthenia gravis (n=35), Guillain-Barre syndrome (n=10), and rapid progressive gIomeruloiiepliritis (n=l), with double filtration plasmapheresis (DP) for five consecutive sessions. Patients were received either a daily or alternate day schedule, with 23 patients in each group. Scrum proteins including, albumin, globulin, lmmunoglobulin G (IgG), IgA, IgM, cholesterol, low density lipoprotein, high density lipoprotein, triglvceride, and complete blood counts were measured before and after the course of plasmapheresis in each croup of patients. The mean percent reductions of serum proteins in the daily vs alternate day, schedule were as follows: cholesterol (77 % vs 62.2 %). IgA (78.9 % vs. 68.8 %), Ig,M (9').4 % vs. 81.8 %), IgG (67.5 % vs. 57.3 %), and globulin (57% vs. 49%). The mean reductions were significantly higher in the daily, group. There were no significant differences in blood counts, albumin, lipoproteins, and triglyceride levels after treatment between these 2 groups. All the patients tolerated the plasmapheresis well except for 2.3 % of them experienced hypotension. Our results suggest that daily plasmapheresis may be more effective in the treatment of patients with immune-mediated diseases in terms of serological changes. |
本系統中英文摘要資訊取自各篇刊載內容。