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Bilateral perirenal fluid accumulation associated with tetralogy of fallot 双侧肾周积液与法洛四联症有关
Pub Date : 2017-08-06 DOI: 10.29333/EJGM/81892
S. Sag, O. F. Nas, A. Ozturk, D. Yeşilbursa, C. Erdoğan
This report describes a case of spontaneously developing bilateral perirenal fluid accumulation in a patient under monitoring for tetralogy of Fallot. The causal pathophysiology of perirenal fluid accumulation in patients with tetralogy of Fallot is unidentified. As a result of comprehensive examinations we establish that perirenal fluid develops due to high hematocrit. Perirenal fluid did not relapse after repeated phlebotomy treatment. Our case is the first to describe the combination of tetralogy of Fallot and perirenal fluid accumulation in the literature
本报告描述了一个自发发展的双侧肾周积液在监测病人法洛四联症。法洛四联症患者肾周积液的病因病理生理尚不清楚。作为综合检查的结果,我们确定肾周积液是由于高血细胞比容引起的。经多次放血治疗,肾周积液未复发。我们的病例是第一个描述法洛四联症和肾周积液在文献中的结合
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引用次数: 3
Obesity-Related Glomerulopathy 与肥胖相关的Glomerulopathy
Pub Date : 2017-08-06 DOI: 10.29333/EJGM/81886
Waleed S. Mohamed
Obesity is a major risk factor for renal disease and can cause de novo glomerulopathy. The characteristic finding of obesity-induced renal injury includes glomerular hypertrophy, glomerular basement membrane thickening, mesangial matrix expansion, and increased renal inflammation. These changes may lead to albuminuria, a progressive impairment of renal function, glomerulosclerosis and tubulointerstitial fibrosis. The mechanisms of obesity-related glomerulopathy (ORG) are not well understood however, several mechanisms acting singly or in combination have been suggested as excess excretory load, excess renal sodium retention and insulin resistance (IR) and hyperinsulinemia, increased monocyte chemoattractant protein 1 (MCP-1) expression, Lipotoxicity in proximal tubular cells, increased inflammatory cytokine production such as Interleukin (IL) IL-6, IL-1, and tumor necrosis factor (TNF-α). Activation of NFκB transcription, increase Leptin levels, reduction in plasma adiponectin expression with its anti-inflammatory effects, decrease nitric oxide (NO) level, increase reactive oxygen species (ROS) generation, Hyperlipidemia, and increases in plasma renin activity, angiotensinogen, angiotensin-converting enzyme activity, and circulating AngII. Many lines of treatment are suggested for ORG as Peroxisome proliferator-activated receptors (PPAR) Agonistic, Statins, anti-inflammatory therapy, and antioxidants are under trial. Weight loss decreases of proinflammatory factors, increase of anti-inflammatory molecules and reduces oxidative stress state in obesity, which may protect renal function. This review discusses recent data about ORG, the characteristics of pathogens and possible interventions to prevent kidney injury in obesity.
肥胖是肾脏疾病的主要危险因素,可引起新生肾小球病。肥胖所致肾损伤的特征性表现包括肾小球肥大、肾小球基底膜增厚、系膜基质扩张和肾脏炎症增加。这些变化可导致蛋白尿、肾功能进行性损害、肾小球硬化和小管间质纤维化。然而,肥胖相关性肾小球病变(ORG)的机制尚不清楚,有几种单独或联合作用的机制被认为是排泄负荷过多、肾脏钠潴留过多、胰岛素抵抗(IR)和高胰岛素血症、单核细胞趋化蛋白1 (MCP-1)表达增加、近端小管细胞脂毒性增加、炎症细胞因子如白细胞介素(IL) IL-6、IL-1和肿瘤坏死因子(TNF-α)的产生。激活NFκB转录,增加瘦素水平,降低血浆脂联素表达及其抗炎作用,降低一氧化氮(NO)水平,增加活性氧(ROS)生成,高脂血症,增加血浆肾素活性、血管紧张素原、血管紧张素转换酶活性和循环AngII。由于过氧化物酶体增殖激活受体(PPAR)激动剂、他汀类药物、抗炎治疗和抗氧化剂正在试验中,许多治疗方法被建议用于ORG。减肥可降低肥胖的促炎因子,增加抗炎分子,降低氧化应激状态,保护肾功能。这篇综述讨论了最近关于肾损伤的数据,病原体的特点和预防肥胖肾损伤的可能干预措施。
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引用次数: 2
A case-control study on the temperament and Psychological mood of patients with chronic Hepatitis B 慢性乙型肝炎患者气质及心理情绪的病例对照研究
Pub Date : 2017-08-06 DOI: 10.29333/EJGM/81887
Ebru Fındıklı, S. Ateş, B. Kandemir, M. Karaaslan, M. Camkurt, F. İzci, Y. Durduran, Selçuk Kardaş, M. Bitirgen
Introduction:To evaluate the personality and temperament traits in patients with chronic hepatitis B in comparison to healthy subjects and to determine whether there is a relation between personality trait and level of anxiety or depression.Material and Methods:This was a case-control study in which 67 patients who had been under follow-up with diagnosis of chronic hepatitis B and 103 aged-matched healthy subjects were included. Study participants were asked to complete three self-report questionnaires— Temperament and Character Inventory (TCI) to define personality traits, Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) to evaluate presence and severity of depression and anxiety.Results:Total and sub-scale scores of five out of seven dimensions of TCI—reward dependence, persistence, self-directedness, cooperativeness, and self-transcence—were significantly higher in Group 1 than Group 2. Total BDI and BAI scores were significantly higher in Group 1 than Group 2 .Significantly more patients had a BDI score of 17 or over in Group 1 than Group 2. There was no significant correlation between total scores of TCI dimensions and total BAI or BDI scores except weak correlations between harm avoidance or self-directedness and total BAI or BDI scores.Conclusions:In terms of personality trait, patients with chronic hepatitis B exhibit higher reward dependence, persistence, self-directedness, cooperativeness, and self-transcendence from healthy population. The personality traits of patients should be considered during the management of hepatitis B in order to optimize treatment outcome and to prevent development of new mental health problems during the course of the disease.
前言:评估慢性乙型肝炎患者的人格和气质特征,并与健康受试者进行比较,以确定人格特质与焦虑或抑郁水平之间是否存在关系。材料和方法:这是一项病例对照研究,纳入了67名诊断为慢性乙型肝炎的患者和103名年龄匹配的健康受试者。研究要求参与者完成三份自我报告问卷-气质与性格量表(TCI)定义人格特征,贝克抑郁量表(BDI)和贝克焦虑量表(BAI)评估抑郁和焦虑的存在和严重程度。结果:组1在奖励依赖、坚持、自我指导、合作、自我超越等7个维度中5个维度的总分和分量表得分显著高于组2。1组患者BDI总分和BAI总分明显高于2组,BDI评分≥17的患者明显高于2组。TCI各维度总分与总BAI或总BDI评分无显著相关,但伤害避免或自我导向与总BAI或总BDI评分呈弱相关。结论:慢性乙型肝炎患者在人格特质方面表现出高于健康人群的奖励依赖性、持久性、自我指向性、合作性和自我超越性。在乙型肝炎的治疗过程中应考虑患者的人格特征,以优化治疗效果,并防止在疾病过程中出现新的心理健康问题。
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引用次数: 2
Hypernatremia in hospitalized children 住院儿童的高钠血症
Pub Date : 2017-08-06 DOI: 10.29333/EJGM/81888
S. Yuca, Y. Cesur, H. Çaksen, D. Arslan, C. Yılmaz, A. Kaya
Introduction:Hypernatraemia has serious complications such as brain injury, brain oedema and seizure. In this study, the incidence among children hospitalized hypernatremia, causes, development time, clinical features, and morbidity, and aimed to reveal the effect on mortality.Material and Methods:In this retrospective study, clinical and laboratory data from patients with hypernatremic were recorded. The study period was 33 months. The groups were separated into two groups; group I: Hypernatremia was present at hospital admission, group II: Hypernatremia was acquared after the hospitalization.Results:Overall incidence of hypernatraemia was 1.3% of all hospitalised children. While 42% of patients were from group I, 58% of patients had acquired hypernatremia during hospital stay. In group I, 61% of patients had infections on hospital admission. The most common cause of hypernatraemia in group II was neurological disorders (53%). The mortality rate was 30.5% (11/36) in patients with hypernatraemia on admission, 67.3% (33/49) in those with hospital-acquired hypernatraemia (P 0.05.Conclusions:Hypernatraemia in pediatric age is associated with mortality and morbidity, and should be closely monitored in pediatric patients hospitalized for any reason in order to prevent complication.
高钠血症有严重的并发症,如脑损伤、脑水肿和癫痫发作。本研究对住院儿童高钠血症的发病率、病因、发病时间、临床特点、发病率进行分析,旨在揭示其对死亡率的影响。材料和方法:在这项回顾性研究中,记录了高钠血症患者的临床和实验室资料。研究时间为33个月。这些小组被分成两组;第一组:入院时出现高钠血症,第二组:入院后出现高钠血症。结果:高钠血症的总发生率为所有住院儿童的1.3%。42%的患者来自第一组,58%的患者在住院期间获得了高钠血症。在第一组中,61%的患者在入院时发生感染。第二组高钠血症最常见的原因是神经系统疾病(53%)。入院时高钠血症死亡率为30.5%(11/36),院内获得性高钠血症死亡率为67.3% (33/49)(P < 0.05)。结论:儿童高钠血症与死亡率和发病率相关,应密切监测任何原因住院的儿童患者,以防止并发症的发生。
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引用次数: 2
A case with drug-related ANCA-positive vasculitis 药物相关性anca阳性血管炎1例
Pub Date : 2017-04-06 DOI: 10.29333/EJGM/81884
R. Yazıcı, I. Guney, L. Altıntepe, A. Karagöz, S. Aslan
Main causes of drug-related antineutrophil cytoplasmic antibody (ANCA)-positive vasculitis are antithyroid drugs. It is known that ANCA- positive vasculitis occurs after long term use of the drugs and develops in 4-6.5 percent of the patients. Herein, we present a female patient with propylthiouracil (PTU)-related ANCA- positive vasculitis, mimicking appendicitis and familial mediaterian fever (FMF), which developed after long-term drug usage.
药物相关性抗中性粒细胞胞浆抗体(ANCA)阳性血管炎的主要原因是抗甲状腺药物。众所周知,ANCA阳性血管炎发生在长期使用药物后,并在4- 6.5%的患者中发展。在此,我们报告了一位女性患者,在长期使用药物后出现丙硫尿嘧啶(PTU)相关的ANCA阳性血管炎,模拟阑尾炎和家族性中介体热(FMF)。
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引用次数: 0
Topical insulin and wound healing 局部胰岛素和伤口愈合
Pub Date : 2017-04-06 DOI: 10.29333/EJGM/81885
B. Nagoba, Sarita B. Mantri, Baban D Adgaonkar
We read with a great interest an article entitled, «the effect of topical insulin application on wound healing» by Suleyman et al. (1). This article addresses an important issue of wound healing by topical application of insulin. With regards to this article we would like to bring forward some of the important issues which we have noticed while going through this article. In some earlier studies, insulin has been shown to enhance the extracellular matrix and collagen synthesis by increasing the proliferation of myofibroblasts during the stage of fibroplasia stimulating the action of macrophages and there by accelerates the process of wound healing (2, 3). Similar findings have also been observed by Suleyman et al. (1). Suleyman et al. (1) in their article have studied the effect of topical application of insulin on wound healing on fresh cutaneous wounds (without involving subcutaneous tissue) artificially created under aseptic conditions by using cautery in rats. These wounds were without any signs of infections. They found the faster and better wound healing following the topical application of insulin. In this connection, we would like to add further that wound healing is a complex and dynamic process that occurs in timely and orderly fashion, if not obstructed by repeated trauma, ischemia and infection. Particularly infection is the most important cause for non-healing of wounds. Presence of infectious agent in the wound affects each and every process involved in wound healing making it a non-healing wound. Hence, it would be interesting to study the effect of insulin on healing in infected wounds and chronic wounds to get more concrete and useful conclusions. Further the size of wound (10x4mm) was very small in their study. It would be more meaningful to study the effect of insulin on larger wounds with signs of infections. It has also been stated by Suleyman et al. (1) that insulin displays its effect during the acute phase wound healing by enabling the removal of necrotic tissues in the wound bed and preventing bacterial contamination, however in many earlier studies, topical application of insulin to chronic wounds and diabetic foot wounds has been found to yield equally good results (4, 5). One more important issue is absorption of insulin from wound and its effect on blood sugar level. Insulin is a most potent anti-diabetic agent known to reduce sugar level significantly. Hence, it is very essential to study the sugar levels and plasma insulin levels before and after the application of insulin to wounds. Suleyman et al. (1) have also observed that the rate of wound healing was found to be higher in the topical insulin group than the normal saline group, however, the period of complete wound closing was shorter than the insulin group (abstract lines 6 &7). These two statements appear to be contradictory. Also, no statistical tests have been applied at any stage of the study to prove the significance.
我们怀着极大的兴趣阅读了Suleyman等人的一篇题为“局部应用胰岛素对伤口愈合的影响”的文章。(1)。这篇文章解决了局部应用胰岛素伤口愈合的一个重要问题。关于这篇文章,我们想提出一些我们在阅读这篇文章时注意到的重要问题。在一些早期的研究中,胰岛素已被证明在纤维增生阶段通过增加肌成纤维细胞的增殖,刺激巨噬细胞的作用,从而加速伤口愈合过程,从而增强细胞外基质和胶原的合成(2)。3) Suleyman等人也观察到了类似的发现(1)。Suleyman等人(1)在他们的文章中研究了局部应用胰岛素对伤口愈合的影响,这些伤口是在无菌条件下通过烧灼在大鼠身上人工形成的新鲜皮肤伤口(不涉及皮下组织)。这些伤口没有任何感染的迹象。他们发现局部使用胰岛素后伤口愈合更快更好。在这方面,我们想进一步补充,伤口愈合是一个复杂的动态过程,如果不受反复创伤,缺血和感染的阻碍,伤口愈合是及时有序地发生的。特别是感染是造成伤口无法愈合的最重要原因。感染因子在伤口中的存在影响到伤口愈合的每一个过程,使其成为不可愈合的伤口。因此,研究胰岛素对感染创面和慢性创面愈合的影响,以获得更具体和有用的结论,将是一项有趣的研究。此外,在他们的研究中,伤口的大小(10x4mm)非常小。研究胰岛素对有感染迹象的较大伤口的影响将更有意义。Suleyman等人(1)也指出,胰岛素在伤口愈合的急性期发挥作用,可以清除伤口床上的坏死组织并防止细菌污染,然而,在许多早期研究中,局部应用胰岛素治疗慢性伤口和糖尿病足部伤口也能产生同样好的结果(4,5)。另一个重要的问题是伤口吸收胰岛素及其对血糖水平的影响。胰岛素是一种最有效的抗糖尿病药物,可以显著降低血糖水平。因此,研究胰岛素应用于创面前后的血糖水平和血浆胰岛素水平是非常必要的。Suleyman等人(1)也观察到外用胰岛素组的创面愈合率高于生理盐水组,但创面完全闭合的时间比胰岛素组短(摘要行6和7)。这两种说法似乎是矛盾的。此外,在研究的任何阶段都没有应用统计检验来证明其重要性。
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引用次数: 1
Correlation between serum alanine aminotransferase activity and immunologic response and body mass index in obese patients with chronic hepatitis B virus infection 慢性乙型肝炎病毒感染肥胖患者血清丙氨酸转氨酶活性与免疫反应和体重指数的相关性
Pub Date : 2017-04-06 DOI: 10.29333/EJGM/81879
F. M. Al-Sharif
Background & Objective: Chronic B viral hepatitis is a major health problem worldwide. Several studies have reported that obesity is important risk factors altered immune system response in individuals with no underlying causes of liver disease. This study was to examine the correlation between body mass index, serum alanine aminotransferase activity and immunologic response in obese hepatitis B Saudi patients. Subjects and Methods: One hundred fifty Saudi male patients with hepatitis B viral infection (HBV); their age ranged from 30 to 45 (38.64 ± 7.12) years. Patients were divided in to two equal groups according to their body mass index: Group (A): Included patients with HBV, their body mass index (BMI) was greater than 30 kg/m2 (the obese group). Group (B): Included patients with HBV, their BMI between 20 and 24 kg/m2 (the normal-weight group). Results: An elevation of serum alanine aminotransferase (ALT) activity was found to be associated with increased BMI, also we observed an elevation with regard to the normal weight group in the parameters of white blood cells, neutrophils, monocytes, CD3, CD4 and CD8 for group A. CD3, CD4 and CD8 correlated with BMI only as a total amount, as well as with all measured parameters of blood count. Conclusion: Obesity adversely affects the immunological response and rate of disease progression in HBeAg-negative chronic hepatitis B viral infection. Body weight control is important in the management of patients with chronic hepatitis B viral infection.
背景与目的:慢性乙型病毒性肝炎是世界范围内的主要健康问题。有几项研究报告称,肥胖是重要的危险因素,改变了没有潜在肝病原因的个体的免疫系统反应。本研究旨在探讨沙特肥胖乙型肝炎患者的体重指数、血清丙氨酸转氨酶活性和免疫反应之间的关系。研究对象和方法:沙特男性乙型肝炎病毒感染(HBV)患者150例;年龄30 ~ 45岁(38.64±7.12)岁。根据体重指数将患者分为两组:A组:纳入HBV患者,体重指数(BMI)大于30 kg/m2(肥胖组)。B组:乙肝病毒感染者,BMI在20 ~ 24kg /m2之间(正常体重组)。结果:血清丙氨酸转氨酶(ALT)活性升高与BMI升高有关,同时我们观察到a组的白细胞、中性粒细胞、单核细胞、CD3、CD4和CD8参数在正常体重组中升高。CD3、CD4和CD8仅作为总量与BMI相关,与血细胞计数的所有测量参数均相关。结论:肥胖对hbeag阴性慢性乙型肝炎病毒感染的免疫反应和疾病进展速度有不利影响。体重控制在慢性乙型肝炎病毒感染患者的治疗中很重要。
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引用次数: 0
Aspects of the submission of articles to scientific journals 向科学期刊提交文章的各个方面
Pub Date : 2017-04-06 DOI: 10.29333/EJGM/81882
Martín l Becerril-Ángel, J. J. Castillo-Pérez, Á. Montiel-Jarquín, A. Villatoro-Martínez, Eugenio García Cano
The final step for an investigation to be completed is its communication in the international scientific forum. The aim of this paper is to highlight the general aspects of the submission of a scientific manuscript, those that are often faced by young and experienced researchers. It is true that a formal training for a scientific career does not exist, the courses taught in the graduate programs are not sufficient to know the process to publish scientific papers. A manuscript evaluation by an editor is based on the recommendations from reviewers, therefore we consider important the knowledge for preparation of a letter of submission, how to respond to publishers and/or reviewers and all the additional knowledge necessary to register a paper to a scientific journal.
调查要完成的最后一步是在国际科学论坛上进行交流。本文的目的是强调提交科学手稿的一般方面,那些年轻和有经验的研究人员经常面临的方面。的确,从事科学事业的正式培训并不存在,研究生课程所教授的课程不足以让你了解发表科学论文的过程。编辑对稿件的评估是基于审稿人的建议,因此我们认为重要的是准备投稿信的知识,如何回应出版商和/或审稿人以及在科学期刊上发表论文所需的所有其他知识。
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引用次数: 3
Association of coronary artery disease severity and disulphide/native thiol ratio 冠状动脉疾病严重程度与二硫化物/天然硫醇比值的关系
Pub Date : 2017-04-06 DOI: 10.29333/EJGM/81878
B. Bilir, D. C. Akkoyun, M. Aydın, Demet Ozkaramanli-Gur, H. Degi̇rmenci̇, N. Albayrak, Aydın Akyüz, Ş. Alpsoy, C. Koca, O. Erel
Introduction:Oxidative stress is among the major components of cardiovascular disease pathogenesis. Thiols play a significant role in prevention of oxidative stress in the cell. The purpose of this study is to investigate the relationship between the severity of coronary artery disease and disulphide/native thiol ratio, also determine if this ratio can be used as a marker of oxidative stress in this population.Material and Methods:A total number of 107 patients with angiographically established coronary artery disease and 26 control subjects with normal coronary arteries were enrolled. The mean Gensini score of patients were calculated (mean=30) and a score of 29 or below was considered as mild and a score of 30 or higher coronary artery disease as severe. Serum total, native thiol was measured and the disulphide and disulphide/native thiol ratio were calculated as described by Erel&Neselioglu.Results:Patients with mild and severe coronary artery disease had significantly lower native thiol levels and higher disulphide/native thiol ratio levels when compared to the control subjects. Also severe disease’s disulphide/native thiol ratio were higher than mild.Conclusions:The increased disulphide/native thiol ratio related with the severity of coronary artery disease, may reflect the augmented oxidative stress in coronary artery disease.
氧化应激是心血管疾病发病机制的重要组成部分之一。硫醇在预防细胞氧化应激中起着重要作用。本研究的目的是探讨冠状动脉疾病的严重程度与二硫化物/天然硫醇比率之间的关系,并确定该比率是否可以作为该人群氧化应激的标志。材料与方法:共纳入107例经血管造影证实的冠状动脉病变患者和26例冠状动脉正常的对照组。计算患者Gensini评分的平均值(平均值=30),29分及以下为轻度冠状动脉疾病,30分及以上为重度冠状动脉疾病。测定血清总硫醇、天然硫醇含量,并计算二硫化物和二硫化物/天然硫醇的比值(Erel&Neselioglu)。结果:与对照组相比,轻度和重度冠状动脉疾病患者的天然硫醇水平明显降低,二硫/天然硫醇比值明显升高。重度疾病的二硫化物/天然硫醇比高于轻度疾病。结论:二硫/天然硫醇比值的升高与冠状动脉疾病的严重程度有关,可能反映了冠状动脉疾病中氧化应激的增强。
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引用次数: 4
Aerobic exercise training modulates biochemical parameters in type 2 diabetic patients with chronic hepatitis C 有氧运动训练对2型糖尿病合并慢性丙型肝炎患者生化指标的调节作用
Pub Date : 2017-04-06 DOI: 10.29333/EJGM/81881
S. El-Kader, Mohammed H. Saiem-Aldahr, O. Al-Jiffri
Introduction:Recent studies suggested that Hepatitis C Virus (HCV) patients may suffer from insulin resistance (IR), lipid profile abnormalities and poor virological response to the antiviral treatment. The beneficial effects of aerobic exercise have been a matter of controversy in the field of HCV management.This study aimed to measure the impact of aerobic exercise training on insulin resistance, lipid profile abnormalities and virological response in type 2 diabetic patients with chronic hepatitis C.Material and Methods:Eighty non-hypertensive, non-cirrhotic chronic HCV infection Saudi patients with high Triglycerides (TG), Total cholesterol (TC) and Low Density Lipoprotein Cholesterol (LDL-c) & non-insulin dependent diabetic with insulin resistance. Patients were divided in to two equal groups. The first group received aerobic exercise training, three sessions per week for three months in addition to their antiviral treatment. The second group (B) received only their antiviral treatment.Results:The mean values of Homeostasis Model Assessment-Insulin Resistance- index (HOMA-IR), TC, LDL-c, TG, virologic response and Body Mass Index (BMI) were significantly decreased in group (A), where the mean value of High Density Lipoprotein Cholesterol (HDL-c) was significantly increased, while there were no significant changes in group (B) Also; there was a significant difference between both groups at the end of the study.Conclusions:Treadmill walking exercise training is an effective treatment policy to improve insulin resistance, lipid profile abnormalities and virological response in type 2 diabetic patients with chronic hepatitis C.
最近的研究表明,丙型肝炎病毒(HCV)患者可能出现胰岛素抵抗(IR)、血脂异常和抗病毒治疗的病毒学反应差。有氧运动的有益作用在HCV管理领域一直存在争议。本研究旨在测量有氧运动训练对2型糖尿病合并慢性丙型肝炎患者胰岛素抵抗、脂质异常和病毒学反应的影响。材料和方法:80例非高血压、非肝硬化慢性HCV感染的高甘油三酯(TG)、总胆固醇(TC)和低密度脂蛋白胆固醇(LDL-c)的沙特阿拉伯患者和非胰岛素依赖型糖尿病合并胰岛素抵抗。病人被分成两组。第一组接受有氧运动训练,除了抗病毒治疗外,每周三次,持续三个月。第二组(B组)只接受抗病毒治疗。结果:A组患者体内稳态模型评估胰岛素抵抗指数(HOMA-IR)、TC、LDL-c、TG、病毒学反应、体重指数(BMI)均值均显著降低,其中高密度脂蛋白胆固醇(HDL-c)均值显著升高,B组无显著变化;在研究结束时,两组之间存在显著差异。结论:跑步机步行运动训练是改善2型糖尿病合并慢性丙型肝炎患者胰岛素抵抗、血脂异常和病毒学反应的有效治疗策略。
{"title":"Aerobic exercise training modulates biochemical parameters in type 2 diabetic patients with chronic hepatitis C","authors":"S. El-Kader, Mohammed H. Saiem-Aldahr, O. Al-Jiffri","doi":"10.29333/EJGM/81881","DOIUrl":"https://doi.org/10.29333/EJGM/81881","url":null,"abstract":"Introduction:Recent studies suggested that Hepatitis C Virus (HCV) patients may suffer from insulin resistance (IR), lipid profile abnormalities and poor virological response to the antiviral treatment. The beneficial effects of aerobic exercise have been a matter of controversy in the field of HCV management.This study aimed to measure the impact of aerobic exercise training on insulin resistance, lipid profile abnormalities and virological response in type 2 diabetic patients with chronic hepatitis C.Material and Methods:Eighty non-hypertensive, non-cirrhotic chronic HCV infection Saudi patients with high Triglycerides (TG), Total cholesterol (TC) and Low Density Lipoprotein Cholesterol (LDL-c) & non-insulin dependent diabetic with insulin resistance. Patients were divided in to two equal groups. The first group received aerobic exercise training, three sessions per week for three months in addition to their antiviral treatment. The second group (B) received only their antiviral treatment.Results:The mean values of Homeostasis Model Assessment-Insulin Resistance- index (HOMA-IR), TC, LDL-c, TG, virologic response and Body Mass Index (BMI) were significantly decreased in group (A), where the mean value of High Density Lipoprotein Cholesterol (HDL-c) was significantly increased, while there were no significant changes in group (B) Also; there was a significant difference between both groups at the end of the study.Conclusions:Treadmill walking exercise training is an effective treatment policy to improve insulin resistance, lipid profile abnormalities and virological response in type 2 diabetic patients with chronic hepatitis C.","PeriodicalId":12017,"journal":{"name":"European journal of general medicine","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90807275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
期刊
European journal of general medicine
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