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降尿酸治疗对血液透析患者氧化应激状态改善作用的探讨

谭鹤长 孟晓燕 何启锋 罗春明

中外医学研究Issue(14):1-2,2.
中外医学研究Issue(14):1-2,2.DOI:10.14033/j.cnki.cfmr.2015.14.001

降尿酸治疗对血液透析患者氧化应激状态改善作用的探讨

Investigation of Urate-lowering Therapy Effect on Blood Oxidative Stress in Hemodialysis Patients

谭鹤长 1孟晓燕 1何启锋 1罗春明1

作者信息

  • 1. 广西医科大学第四附属医院 广西 柳州 545005
  • 折叠

摘要

Abstract

Objective:To investigate the improvement effect of urate-lowering therapy on blood oxidative stress in hemodialysis(HD) patients. Method:51 HD patients who had serum uric acid (SUA) levels above 480μmol/L in our hospital were selected as research objects,the mean age was (51.3±4.9)years,the mean HD duration was (3.7±0.8)years,the mean dialysis time per week was (11.6±0.9)hours.Blood samples were collected for detecting SUA and oxidative stress markers(8-OhdG and 3-NT) before and after the treatment.Result:After urate-lowering therapy,the level of SUA in HD patients decreased significantly(P<0.01),comparing with the baseline level (512.4±109.8)μmol/L.The oxidative stress markers 8-hydroxy deoxyguanosine (8-OhdG ) also decreased significantly,comparing with the baseline level [(1.93±0.94)ng/ml vs (0.97±0.43)ng/ml,P<0.01],which were positively correlated with the level of SUA,the correlation coefficient was 0.608,P<0.01.However,the 3-nitrotyrosine modified protein (3-NT) was not significantly different from its baseline level [(32.46±9.95)nM vs (29.23±9.63)nM,P=0.104].Conclusion:Urate-lowering therapy can ameliorate the oxidative stress status in HD patients,is worthy of clinical application.

关键词

终末期肾病/血液透析/高尿酸血症/氧化应激

Key words

End-stage renal disease/Hemodialysis/Hyperuricemia/Oxidative stress

分类

医药卫生

引用本文复制引用

谭鹤长,孟晓燕,何启锋,罗春明..降尿酸治疗对血液透析患者氧化应激状态改善作用的探讨[J].中外医学研究,2015,(14):1-2,2.

基金项目

广西壮族自治区卫生厅计划课题(项目编号Z2013616) (项目编号Z2013616)

中外医学研究

1674-6805

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