Is rhGH anabolic in patients undergoing peritoneal dialysis?

C J Stefanidis
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Abstract

The effect of rhGH treatment on protein metabolism was studied in nine prepubertal patients on CAPD. An improvement in nitrogen balance as evidenced by a falling of blood urea nitrogen and urea nitrogen appearance with a constant protein intake was noticed. The significant increase in serum creatinine and creatinine excretion with a constant weekly creatinine clearance and the increase in mid-arm muscle circumference were all indications of an improvement in lean body mass. In addition, there was an improvement in the pattern of plasma amino acids and an increase in serum albumin, possibly as a result of the improvement of protein metabolism.

接受腹膜透析的患者是否有rhGH合成代谢?
研究了rhGH治疗对9例青春期前CAPD患者蛋白质代谢的影响。氮平衡的改善表现为血液尿素氮和尿素氮外观的下降,并注意到恒定的蛋白质摄入。血清肌酐和肌酐排泄量的显著增加(每周肌酐清除率不变)和中臂肌围的增加都表明瘦体重有所改善。此外,血浆氨基酸模式的改善和血清白蛋白的增加,可能是由于蛋白质代谢的改善。
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