Comparison of hyperlipidemia in dialysis patients, renal transplant recipients, and steroid treated nonrenal patients.

N D Vaziri, C Risk, D C Martin, H S Novey
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引用次数: 6

Abstract

Serum lipids were studied in 25 stable renal transplant recipients 3-60 months after transplantation, 25 stable patients maintained on hemodialysis, and 16 steroid-treated patients with normal renal functions. Lipid abnormalities were found in 72% of the transplant patients and 52% of dialysis patients. The mean serum triglyceride levels were significantly higher in the transplant and the dialysis group than age and sex matched controls, but were not significantly elevated in the steroid-treated patients with normal renal function. The mean cholesterol levels were normal for the transplant and steroid-treated groups, but significantly reduced in the dialysis group. There was a significant correlation between the triglyceride levels and the reciprocal of creatinine clearance suggestive of a possible etiologic relationship.

透析患者、肾移植受者和类固醇治疗的非肾患者高脂血症的比较。
研究了25例肾移植术后3-60个月的稳定患者、25例血液透析维持的稳定患者和16例激素治疗的肾功能正常患者的血脂。在72%的移植患者和52%的透析患者中发现脂质异常。移植组和透析组的平均血清甘油三酯水平明显高于年龄和性别匹配的对照组,但在类固醇治疗的肾功能正常的患者中没有显著升高。移植组和类固醇治疗组的平均胆固醇水平正常,但透析组明显降低。甘油三酯水平和肌酐清除率的倒数之间有显著的相关性,提示可能的病因关系。
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