【摘要】 目的探讨持续非卧床腹膜透析(CAPD)对尿毒症患者微量元素的影响。方法用火焰及无火焰原子吸收法检测30例尿毒症患者行持续非卧床腹膜透析前及透析1月后血清铜、锌、铁的含量及腹膜透析透出液中铜、锌、铁、钙、镁、磷、钾元素的含量,分析腹膜透析前后尿毒症患者血清及透出液中微量元素的变化。结果尿毒症患者透析后血清铁及锌的浓度均明显高于透析前(P<0.05),而血清铜透析前后无明显差异(P>0.05)。腹膜透析透出液中铜、锌、镁、钾、钙、磷含量透析前后有显著性差异(P<0.05),而腹膜透析透出液中铁浓度透析前后无明显差异(P>0.05)。结论经CAPD治疗后尿毒症患者铜、锌、铁、磷、钾的异常代谢可得到部分纠正。更多还原

【Abstract】 Objective To explore the influence of continuous ambulatory peritoneal dialysis（CAPD） on the trace-elements in uremic patients.Methods 30 CAPD patients were included in the study.Analyze the Cu⁺²,Zn⁺²,Fe⁺²in serum and Cu⁺²,Zn⁺²,Fe⁺²,Ca⁺²,Mg⁺²,P⁺³,K⁺¹ in dialysate before and one month after CAPD.Results In serum,the Zn⁺² and Fe⁺² before CAPD were higher than those after CAPD（P<0.05）,while the Cu⁺² was no statistical difference in uremic patients.In dialysate,there were statistical differences in Cu⁺²,Zn⁺²,Mg⁺²,K⁺¹,Ca⁺²and P⁺³ in CAPD patients pre-and-post CAPD（P<0.05）,while Fe⁺² was no difference（P<0.05）.Conclusion CAPD can improve the malcatabolism of Zn⁺²,Ca⁺²,Fe⁺²,P⁺³and K⁺¹ in uremic patients.更多还原