LIPIDS IN THE PROGRESSION OF CHRONIC-RENAL-FAILURE

被引:32
作者
CAPPELLI, P [1 ]
EVANGELISTA, M [1 ]
BONOMINI, M [1 ]
PALMIERI, PF [1 ]
ALBERTAZZI, A [1 ]
机构
[1] UNIV CHIETI,INST NEPHROL,CHIETI,ITALY
来源
NEPHRON | 1992年 / 62卷 / 01期
关键词
APOLIPOPROTEINS; CHRONIC RENAL FAILURE; LIPIDS; URINARY PROTEIN EXCRETION;
D O I
10.1159/000186991
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Lipid disturbances have been linked to the progression of chronic renal disease. We examined 52 patients with a creatinine clearance (CCr) of 38.5 +/- 7.9 ml/min due to various nephropathies, on free diet. Bimonthly, over a 12-month period, we assessed: serum creatinine (Cr); CCr; daily urinary urea excretion; urinary protein excretion per unit of residual renal function (UProt/CCr); total, HDL, VLDL and LDL cholesterol; triglycerides; Apo A, Apo B. Chronic renal failure was progressive in 22 patients with a slope of 1/Cr-0.00358 +/- 0.00247, stable in 30 with a slope of 0.00420 +/- 0.00285. Lipid parameters did not differ significantly between the two groups but for the lower Apo A and Apo A/Apo B ratio values in the progressive group. Overall slope inversely correlated with basal CCr; in the progressive patients the slope correlated with the percentage variation of UProt/CCr and only partially with the altered Apo profile.
引用
收藏
页码:31 / 35
页数:5
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