[Alteration of homocysteine before and after hemodialysis in chronic hemodialysis patients].

Hai-tao Wang, You-ming Peng, Hong Liu
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引用次数: 0

Abstract

Objective: To determine the plasma hemocysteine (Hcy) concentration in chronic hemodialysis patients and controls, and the relation between chronic hemodialysis and the plasma total Hcy level in chronic hemodialysis patients.

Methods: Using HPLC-FLD method, the plasma total Hcy concentration was determined in 11 patients with chronic hemodialysis and 30 healthy volunteers.

Results: The plasma total Hcy level in chronic hemodialysis was significantly higher than that in the controls (13.54 +/- 4.49 mumol/L) (P < 0.01). The plasma total Hcy level after the hemodialysis (21.30 +/- 10.81 mumol/L) was lower than before the hemodialysis (29.53 +/- 13.59 mumol/L) (P < 0.01).

Conclusion: The plasma total Hcy level in chronic hemodialysis patients was higher than that in the controls. Hemodialysis can clean the plasma Hcy in chronic hemodialysis patients, but it can not decrease it to the normal level.

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慢性血液透析患者血液透析前后同型半胱氨酸的变化。
目的:了解慢性血液透析患者和对照组血浆半胱氨酸(Hcy)浓度,以及慢性血液透析与慢性血液透析患者血浆总Hcy水平的关系。方法:采用HPLC-FLD法测定11例慢性血液透析患者和30例健康志愿者血浆总Hcy浓度。结果:慢性血液透析组血浆总Hcy水平显著高于对照组(13.54 +/- 4.49 mumol/L) (P < 0.01)。血液透析后血浆总Hcy水平(21.30 +/- 10.81 mumol/L)低于血液透析前(29.53 +/- 13.59 mumol/L) (P < 0.01)。结论:慢性血液透析患者血浆总Hcy水平高于对照组。血液透析可以清除慢性血液透析患者的血浆Hcy,但不能使其降至正常水平。
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