肾病综合征的脂质异常

E. Jc, P. Ck
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引用次数: 6

摘要

肾病综合征是一组指征,包括尿中的蛋白质、低血蛋白水平、高胆固醇水平、高甘油三酯水平和肿胀。肾病综合征是由损害肾脏的病变引起的。这种损伤会导致尿液中释放过多的蛋白质。高脂血症是肾病综合征的常见表现。总胆固醇、低密度脂蛋白、VLDL升高,高密度脂蛋白偏低或正常。已经注意到,某些因素,如饮食、营养不良、遗传特征等,已知会改变脂质模式的频率和严重程度。印度患者有不同的饮食、体质和遗传背景。还试图将蛋白尿和低蛋白血症的程度与肾病综合征病例中血脂值的升高联系起来。这是一项横断面研究,30例正常患者和30例25-65岁的肾病综合征患者。对入院患者的血清蛋白和血脂进行评估。总胆固醇、HDL、LDL、VLDC和TG均显著升高。与对照组相比,肾病患者血清总蛋白、血清白蛋白和血清球蛋白明显降低。研究结果表明,印度肾病综合征患者的血脂水平明显升高。它还观察到肾病患者有高脂血症。这种高脂血症可发展为心血管疾病。因此,必须监测肾病综合征的血脂状况,以便更好地管理疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lipid Profile Abnormalities in Nephrotic Syndrome
Nephrotic syndrome is a set of indications that include protein in the urine, low blood protein levels, high cholesterol levels, high triglyceride levels, and swelling. Nephrotic syndrome is affected by changed disorders that damage the kidneys. This impairment leads to the release of too much protein in the urine. Hyperlipidemia is a common finding in nephrotic syndrome. There is increased total Cholesterol, LDL, VLDL and low or normal HDL. It has been noted that certain factors like diet, malnutrition, genetic traits etc., are known to alter the frequency and severity of lipid pattern. The Indian patient has a different dietary, constitutional and genetic background. An attempt was also made to correlate the degree of proteinuria and hypoproteinemia, with the rise in serum lipid values in cases of nephrotic syndrome. This is a Cross sectional study in which 30 Normal patients and 30 patients with nephrotic syndrome aged 25-65 years old. The Serum Protein & Serum lipid profiles of the admitted patients were evaluated. There was a significant increase in Total cholesterol, HDL, LDL, VLDC & TG. There was significant decrease in Serum Total Protein, Serum Albumin & Serum globulin in Nephrotic patients when compared to Controls. The study finding conclude that the serum lipid profile shoed noticeable increase in the nephrotic syndrome in Indian patients. It also observed that nephrotic patients are having hyperlipidaemia. This hyperlipidaemia may progress in to the cardiovascular diseases. Hence the lipid profile in the nephrotic syndrome must be monitored for better management of the diseases.
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