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对12例持续非卧床腹膜透析(CAPD)维持一年以上和16例维持一年以上血液透析的慢性肾衰透析患者(其中9例合并高血压),用放射免疫分析测定血浆内皮素(ET)、心钠素(ANP)和甲状旁腺素(PTH)的水平,以观察经HD和CAPD的慢性肾衰患者血浆ET、ANP和PTH的变化。慢性肾衰患者血浆ET、ANP和PTH浓度均较对照组显著升高,而透析8周前、后差异不显著,合并高血压的透析患者ET、ANP和PTH较对照组显著升高,但与无高血压的透析组比,差异也不显著。结果表明ET、ANP和PTH在慢性肾衰的发病机制中起重要作用,但CAPD与HD对ET、ANP和PTH水平的影响无明显差异。
Twelve patients with persistent renal dialysis (CAPD) who had been on CPD for more than one year and 16 patients who had maintained hemodialysis for more than one year (including 9 patients with hypertension) were assayed for plasma endothelin (ET) by radioimmunoassay. (ANP) and parathyroid hormone (PTH) levels in patients with chronic renal failure of HD and CAPD to observe the changes of plasma ET, ANP and PTH. The levels of plasma ET, ANP and PTH in patients with chronic renal failure were significantly higher than those in the control group, but there was no significant difference between before and after dialysis for 8 weeks. The ET, ANP and PTH in patients with hypertension and dialysis were significantly higher than those in the control group No hypertension in the dialysis group, the difference is not significant. The results showed that ET, ANP and PTH played an important role in the pathogenesis of chronic renal failure, but the effects of CAPD and HD on ET, ANP and PTH levels had no significant difference.