Study of Lipid Profile in Chronic Kidney Disease in Pre-dialysis Patients

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Abstract

Background: Chronic Kidney Disease (CKD) causes irreversible damage to renal tissue resulting in decreasedkidney function. It will affect the cardio-vascular system and leads to morbidity and mortality.Study of lipidprofile in chronic kidney disease in pre-dialysis patientsMethod: 150 CKD adult patients were studied and compared with 150 controlled group. Lipid profile was studiedafter a minimum 12 hour fasting. About 10 ml blood was collected from median cubital vein and centrifuged at5000 rpm for ten minutes then lipid profile was done by VITROS slidemethod. The obtained results in both groupswere noted and compared.Result: Biochemical parameters had significant p values (p<0.001) except serum sodium.Overall dyslipidemiawas present in 27 (18%) CKD and absent in 123 (82%) CKD patients out 150, 9 (6%) patients were in 3rd stage, 45(30%) were at stage-IV, 96 (64%) were at Vth stage. In correlation of lipid profile with GFR, TG, HDL and VLDLhad significant p value (p<0.001).Conclusion: Present pragmatic study proved that, dyslipidemia progress with CKD. Early monitoring of lipidprofile may help to control the progression of CKD and avoid morbidity and mortality of CKD patients.
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透析前慢性肾脏病患者血脂水平的研究
背景:慢性肾脏疾病(CKD)对肾组织造成不可逆的损害,导致肾功能下降。它会影响心血管系统,导致发病率和死亡率。透析前慢性肾脏病患者脂质谱的研究方法:对150例CKD成人患者进行研究,并与150例对照组进行比较。在禁食至少12小时后研究血脂。取肘正中静脉血样约10 ml, 5000rpm离心10分钟,用VITROS玻片法测脂质。对两组所获得的结果进行记录和比较。结果:除血清钠外,其他生化指标均有显著p值(p<0.001)。整体血脂异常在27例(18%)CKD患者中存在,在123例(82%)CKD患者中不存在,其中9例(6%)处于第三期,45例(30%)处于第四期,96例(64%)处于第五期。血脂与GFR、TG、HDL、vldl的相关性有显著性p值(p<0.001)。结论:目前的实际研究证实,慢性肾病伴血脂异常进展。早期监测脂质谱有助于控制CKD的进展,避免CKD患者的发病率和死亡率。
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