肾脏病与透析肾移植杂志 ›› 2011, Vol. 20 ›› Issue (2): 176-180.
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维持性血液透析(MHD)中有30-50%患者存在血浆炎症因子如C反应蛋白(CRP)和白细胞介素6(IL-6)水平升高。研究发现患者的炎症反应状态与高死亡率有关。MHD患者炎症反应相关因素包括患者本身的原因,如氧化应激、感染、肥胖、遗传和免疫因素,以及透析相关原因,如透析膜的生物相容性和透析液纯度。了解微炎症反应的发生机制,预防并治疗可能的相关因素,有利于改善MHD患者的炎症状态,降低其死亡率。
关键词: 维持性血液透析 , 微炎症
Abstract:
About 30% to 50% patients with maintenance hemodialysis (MHD)have elevated serum levels of inflammatory markers such as C-reactive protein and IL-6. The presence of inflammation has been found to be associated with a high risk of mortality. The causes of inflammation are multifactorial which includes patient-related factors, such as oxidative stress, infections, obesity, and genetic or immunologic factors, or on the other side, HD-related factors, mainly depending on the membrane biocompatibility and dialysate quality. The adequate knowledge of these causes and their prevention or treatment if possible may contribute to improving the inflammatory state of patients who are on MHD and possibly their mortality.
陶静, 孙伟. 维持性血液透析患者与微炎症反应[J]. 肾脏病与透析肾移植杂志, 2011, 20(2): 176-180.
TAO Jing, SUN Wei. null[J]. Chinese Journal of Nephrology, Dialysis & Transplantation, 2011, 20(2): 176-180.
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