腹膜透析患者的低甲状旁腺激素血症与营养状态的关系

Chinese Journal of Blood Purification ›› 2006, Vol. 5 ›› Issue (7) : 361-362.

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PDF(270 KB)
Chinese Journal of Blood Purification ›› 2006, Vol. 5 ›› Issue (7) : 361-362.
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Abstract

Objective To investigate the prevalence of hypoparathyroidism in peritoneal dialysis patients (PD) and the possible factors related to hypoparathyroidism. Methods Sixty-six peritoneal dialysis patients were involved in this retrospective study. Serum intact parathyroid hormone (iPTH) were detected every 3 months after dialysis, when it exceeded 300 ng/L, calcitriol were administered and iPTH then were rechecked every month. Serum albumin and subjective global assessment (SGA) were used to evaluate the nutritional status. Results Of all patients, 32% patients had permanent hypoparathyroidism, and 42% had temporal hypoparathyroidism. Serum albumin level was lower in permanent hypoparathyroidism group than temporal group (P = 0.024), and higher malnutrition rate also could be found in this group (P=0.020). Conclusion Hypoparathyroidism was frequent in PD patients, and it was related to malnutrition. To PD patients with malnutrition, more attention must be paid in the use of calcitriol.

Key words

Nutritional status / Peritoneal dialysis

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