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慢性肾脏病患者血清iPTH及钙磷异常的发生率

廖常志 张静 何强 张渊 李贵森 王莉

四川医学2011,Vol.32Issue(9):1338-1340,3.
四川医学2011,Vol.32Issue(9):1338-1340,3.

慢性肾脏病患者血清iPTH及钙磷异常的发生率

The prevalence of abnormal serum intact parathyroid hormone, calcium and phosphorus in patients with chronic kidney disease

廖常志 1张静 1何强 1张渊 1李贵森 1王莉1

作者信息

  • 1. 四川省医学科学院·四川省人民医院肾内科,四川成都610072
  • 折叠

摘要

Abstract

Objective Secondary hypeiparathyroidism was one of the most important complications of patients with chron ic kidney disease (CKD). The purpose of this study was to screen the serum level of intact parathyroid hormone (iPTH) in pa tients with CKD. Methods Total 348 cases with CKD were involved in this study. We collected the clinical data and the values of serum calcium, phosphorus, and iPTH. Results The iPTH were significantly different in the three groups. The serum calcium increased significantly and the serum phosphorus decreased significantly in CKD stage 5 patients The proportion of patients with high iPTH were 63. 6% (CKD stage 3 ) , 52% ( CKD stage 4), and 48% (CKD stage 5 ). Total 27. 6% patients with CKD stage 5 had high serum calcium-phosphorus product ( > 55 mgVdl2). Conclusion Secondary hyperparathyroidism was a common complication of patients CKD. We should give them regular monitoring and appropriate medication therapy.

关键词

慢性肾脏病/继发甲状旁腺功能亢进/钙磷代谢紊乱

Key words

chronic kidney disease/ secondary hyperparathyroidism/abnormal serum calcium and phosphorus

分类

医药卫生

引用本文复制引用

廖常志,张静,何强,张渊,李贵森,王莉..慢性肾脏病患者血清iPTH及钙磷异常的发生率[J].四川医学,2011,32(9):1338-1340,3.

四川医学

OACSTPCD

1004-0501

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