Cha Chun Li , Li Jing Juan , Chen Guo Shu , Dou Li Na , Dai Liu Ling , Li Jun . Correlation of Serum Lipid Metabolism, Calcium and Phosphorus Metabolism in Hemodialysis Patients with Micro Inflammatory State[J]. Journal of Kunming Medical University, 2017, 38(01): 41-45.
Citation: Cha Chun Li , Li Jing Juan , Chen Guo Shu , Dou Li Na , Dai Liu Ling , Li Jun . Correlation of Serum Lipid Metabolism, Calcium and Phosphorus Metabolism in Hemodialysis Patients with Micro Inflammatory State[J]. Journal of Kunming Medical University, 2017, 38(01): 41-45.

Correlation of Serum Lipid Metabolism, Calcium and Phosphorus Metabolism in Hemodialysis Patients with Micro Inflammatory State

Funds:

基金: 云南省应用基础研究计划项目 (2012FB029); 云南省科技计划基金资助项目 (2012FB161); 昆明医科大学研究生创新基金资助项目 (2016S22);

  • Received Date: 2016-10-16
  • Objective To study the correlation of micro inflammation state with serum lipid metabolism, calcium and phosphorus metabolism in hemodialysis patients and its clinical significance.Methods We selected31 uremic peritoneal dialysis patients (peritoneal dialysis group:PD group) , 31 continuous hemodialysis patients (hemodialysis group:HD group) , and 18 healthy subjects (control group) .ELISA method was used to detect serum level of high sensitive C reactive protein (hs-CRP) .Automatic biochemical analyzer was used to detect the serum creatinine, urea nitrogen, total cholesterol, high density lipoprotein cholesterol, low density lipoprotein cholesterol, triglyceride, serum calcium, phosphorus, parathyroid hormone, and the results were analyzed.Results Compared with the normal control group, HD group and PD group patients had higher blood hs-CRP, the difference was statistically significant (P<0.05) .Total cholesterol, serum phosphorus, parathyroid hormoneand calcium phosphate product of patients in HD and PD groups were higher than those of the control group, the difference was statistically significant (P <0.05) .There was no statistically significant difference between the normal control group and the HD group or the PD group in low density lipoprotein cholesterol and triglyceride (P>0.05) .PD group of patients had a positive correlation between triglyceride and hs-CRP (r=0.36, P<0.05) , there was no significant correlation between other indexes serum lipid, calcium phosphorus metabolism and hs-CRP (P>0.05) .Conclusions Micro inflammatory state exsists in patients with chronic dialysis, accompanied by abnormal metabolism of serum lipids and calcium and phosphorus metabolism, but hs-CRP is not significantly correlated with lipid, calcium and phosphorus metabolism.
  • loading
  • [1]
    [1]IH DE BOER.Chronic kidney disease-a challenge for all ages[J].JAMA, 2012, 308 (22) :2401-2402.
    [2]陈香美, 孙雪峰, 蔡广研.我国慢性肾脏病防治的公共健康政策思考[J].中华医学杂志, 2014, 94 (4) :82-84.
    [3]汪鹏, 张翠萍, 任伟, 等.维持血液透析患者微炎症与营养及血脂的关系[J].安徽医科大学学报, 2013, 48 (9) :1099-1102.
    [4]
    [4]BLOCK G A, et al.Mineral metabolism, mortality, and morbidity in maintenance hemodialysis[J].J Am SocNephrol, 2004, 15 (8) :2208-2218.
    [5]
    [5]HRUSKA K A, et al.Renal osteodystrophy, phosphate homeostasis, and vascular calcification[J].Semin Dial, 2007, 20 (4) :309-315.
    [6]门雯瑾, 丁致民.不同血液净化方式对血液透析患者微炎症与营养状况的影响[J].中国临床医生杂志, 2015, 43 (10) :20-23.
    [7]
    [7]TASLIPINAR A, YAMAN H, YILMAZ MI, et al.The relationship between inflammation, endothelial dysfunction and proteinuria in patients with diabetic nephropath[J].Scand J Clin Lab Invest, 2011, 71 (7) :606-612.
    [8]郭林, 贺小霞.血液透析、腹膜透析两种透析方式对慢性肾衰尿毒症患者微炎症状态的影响[J].临床医药文献杂志, 2015, 2 (21) :4327-4328.
    [9]孙馥云, 李丽华, 孙文英.维持性血液透析和腹膜透析患者微炎症差异[J].河北医药, 2009, 31 (2) :195-196.
    [10]
    [10]SHAVIT L, MIKELADZE I, TOREM C, et al.Mild hyponatremia is associated with functional and cognitive decline in chronic hemodialy-sispatients[J].Clin Nephrol, 2014, 82 (5) :313-319.
    [11]
    [11]SIRICH T L, PLUMMER N S, GARDNER C D, et al.Effect of increasing dietary fiber on plasma levels of colon-derived solutes in hemodialysis patients[J].Clin J Am Soc Nephrol, 2014, 9 (9) :1603-1610.
    [12]周凡力, 卢岚, 许力, 等.维持性血液透析患者心血管并发症危险相关因素的研究[J].华夏医学, 2011, 24 (1) :20-22.
    [13]张驰.维持性血液透析患者血清镁、甲状旁腺激素和血脂代谢的相关研究[J].河北医药, 2013, 35 (2) :205-206.
    [14]
    [14]KDIGO.Clinical practice guideline for the diagnosis, evaluation, prevention, and treatment of chronic kidney disease-mineral and bone disorder (CKD-MBD) [J].Kidney Int, 2009, 76 (Suppl 113) :S1-S130.
    [15]窦林斌, 蔡宏, 张伟明, 等.维持性血液透析患者钙磷代谢紊乱回顾性分析[J].中国血液净化, 2015, 14 (7) :412-417.
    [16]王长江, 李胜开.维持性血液透析患者钙磷代谢紊乱及腹主动脉钙化观察[J].山东医药, 2015, 55 (35) :39-40.
    [17]顾勇.应充分重视和保护透析患者残余肾功能[J].中华肾脏病杂志, 2007, 23 (7) :411-412.
    [18]漆映辉, 曲晓璐, 唐咏华, 等.残余肾功能对血液透析患者钙磷代谢的影响[J].临床肾脏病杂志, 2013, 13 (1) :31-33.
    [19] 汪鹏, 张翠萍, 任伟, 等.维持血液透析患者微炎症与营养及血脂的关系[J].安徽医科大学学报, 2013, 48 (9) :1099-1102.
  • Relative Articles

    [1] Yibiao GUAN, Sheng HUANG, Libo LI. Effect of Hybrid Blood Purification on Dialysis Adequacy,Immunity,and Inflammation in ESRD Patients with Inadequate Peritoneal Dialysis. Journal of Kunming Medical University, 2024, 45(8): 125-132.  doi: 10.12259/j.issn.2095-610X.S20240818
    [2] Yating LEI, Junling ZHANG, Zhu ZHOU, Ting LUO, Xiaohua ZHU. Correlation between the Psychological Status and Self-Management Ability of Patients on Continuous Ambulatory Peritoneal Dialysis. Journal of Kunming Medical University, 2024, 45(10): 91-95.  doi: 10.12259/j.issn.2095-610X.S20241014
    [3] Xixiong SU, Wei XU, Liqi XU, Qin YANG, Yunli YANG. Effects of Percutaneous Transluminal Angioplasty Plus Open Operation in Hemodialysis Patients with Type I and II Upper Limb Arteriovenous Fistula Stenosis. Journal of Kunming Medical University, 2022, 43(6): 52-55.  doi: 10.12259/j.issn.2095-610X.S20220626
    [4] Zhi-fei MIAO, Dong-jing RONG, Yan-qing CHEN, Shou-kun CHEN. Application Value of Medical Chlorhexidine Gluconate Cotton Tablets in Hemodialysis Catheter Nursing. Journal of Kunming Medical University, 2021, 42(10): 185-188.  doi: 10.12259/j.issn.2095-610X.S20211022
    [5] Li Zhi Ling , Wang Xin Wen . . Journal of Kunming Medical University, 2020, 41(03): 116-120.
    [6] Rong Dong Jing , Zhang Yu An , Zhang Yu Lin , Xiao Yi , Chang Yan Ping . . Journal of Kunming Medical University, 2020, 41(04): 121-126.
    [7] Li Jing Juan , Chen Guo Shu , Pan Si Min , Pu Li Sha , Li Jun . . Journal of Kunming Medical University, 2019, 40(01): 48-52.
    [8] Hu Shao Lan , Yang Min , Bai Yi Hua , Zheng Shuai , Xiao Ming Xian , Zhang Xin Xin , Ma Li . . Journal of Kunming Medical University, 2019, 40(07): 106-110.
    [9] Hu Shao Lan , Yang Min , Bai Yi Hua , Zheng Shuai , Xiao Ming Xian . Effect of Malnutrition and Micro-inflammatory State on Cardiovascular Calcification in Patients with Peritoneal Dialysis. Journal of Kunming Medical University, 2018, 39(07): 47-51.
    [10] Huang Chao Li , Gu Li , Ning Cheng . . Journal of Kunming Medical University, 2017, 38(03): 87-89.
    [11] Li Wen Hua , Wei Yun Hong , Ye Ji Yun . Effect of Probiotics on Blood Lipid Metabolism of Elderly Patients with Coronary Heart Disease. Journal of Kunming Medical University, 2016, 37(12): 82-84.
    [12] Wang Xin Wen . The Feasibility of Body Surface Positioned Approach of the Right Internal Jugular Vein Indwelling Caffed Catheter in Hemodialysis. Journal of Kunming Medical University,
    [13] Bai Yi Hua . Effect of Depression on the Incidence of Osteoporosis in Patients with Maintenance Peritoneal Dialysis. Journal of Kunming Medical University,
    [14] Cai Yan . . Journal of Kunming Medical University,
    [15] Weng Min . . Journal of Kunming Medical University,
    [16] Li Zhen . . Journal of Kunming Medical University,
    [17] . Therapeutic Strategies of Solitary Kideney and Staghorn Stone(Report of 52 Cases). Journal of Kunming Medical University,
    [18] Li Jun . Clinical Analysis of 131 Patients with Acute Kidney Injury. Journal of Kunming Medical University,
    [19] . . Journal of Kunming Medical University,
    [20] Weng Min . . Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (1855) PDF downloads(158) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return