血管紧张素转换酶抑制剂和血管紧张素II受体拮抗剂对腹膜透析患者残余肾功能保存的影响

Reyes Marin Fernando Arturo
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引用次数: 0

摘要

血管紧张素转换酶抑制剂(angiotensin -converting enzyme inhibitors, ACEi)和血管紧张素受体阻滞剂(angiotensin II receptor blockers, ARBs)被推荐用于腹膜透析(PD)患者的高血压或心力衰竭控制[1]。血管紧张素II (angiotensin II, AII)通过TGF b介导对肾小球的血流动力学作用和刺激细胞外基质蛋白合成,是肾纤维化发生的重要因素[2]。这也许可以解释为什么ACEi和ARBs治疗对糖尿病和非糖尿病肾病患者具有肾保护作用。
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Angiotensin Converting Enzyme Inhibitors and Angiotensin II Receptor Antagonists on Residual Renal Function Preservation in Peritoneal Dialysis Patients
Angiotensin-converting enzyme inhibitors (ACEi) and angiotensin II receptor blockers (ARBs) are recommended in peritoneal dialysis (PD) patients for hypertension or heart failure control [1] Angiotensin II (AII) is an important factor in the development of renal fibrosis due to its hemodynamic effects on glomeruli and stimulation of extracellular matrix proteins synthesis, mediated by TGF b [2]. This may explain why treatment with ACEi and ARBs is renoprotective in patients with diabetic and non-diabetic nephropathy.
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