透析前慢性肾衰竭患者甲状旁腺功能亢进性骨病的治疗进展
被引量:1
摘要
继发性甲状旁腺功能亢进发生于慢性肾功能不全早期,预防该病症必须早期干预。本文就透析前患者(慢性肾脏病III-IV期患者)的肾性骨病的治疗方面提出了系统的治疗思路,其中包括低钙血症、磷的控制、活性维生素D的应用。最后,对透析前慢性肾脏病患者肾性骨病的预防和治疗提出了建议。
出处
《社区医学杂志》
2012年第22期44-46,共3页
Journal Of Community Medicine
参考文献8
-
1Pei Y,Hercz G,Greenwood C,et al. Risk factors for renal osteodys-trophy :a multivarient analysis[ J]. J Bone Miner Res,1995,10: 149-156.
-
2Pei Y, Hercz G,Greenwood C,et al. Renal osteodystrophy in diabet-ic patients[ J]. Kidney Int,1993,44:159 -164.
-
3Llach F, Bover J, Vitamin D. parathyroid hormone, and renal os-teodystrophy [ M ]. Philadelphia : WB Saunders,1996:2203 一 2267.
-
4Wang M,Hercz G,Sherrard D,et al. Relationship between intact 1 -84 parathyroid hormone and bone histomoiphometric parameters indialysis without aluminum toxicity [J]. Am J Kidney Dis,1995,26:836-844.
-
5Brown AJ. Therapyeutic uses of vitamin D analogues[ J]. Am J Kid-ney Dis,2001,38(Suppl 5) :3-19.
-
6Moe S, Drueke T, Cunningham J, et al. Definition, evalutiont andclassification of osteodystrophy : a position statement from KidneyDisease : Improving Global Outcome [ J ]. Kidney Intf2006,69 : 1945-1950.
-
7Goodman WG,Cobum JW,Ramirez,Slatopolsky E’et al. Renal os-teodystrophy in adults and children[ M]. New York: Raven Press,1993:304-323.
-
8Almaden Y,Canalejo A,Ballesteros Efet al. Effect of hi^i extracel-lular phosphate concentration on arachidonic acid production by par-athyroid tissue in vitro[ J]. J Am Soc Nephrol,2000,11 : 1712 -1718.
同被引文献7
-
1Chauveau P,Couzi L,Vendrely B,et al.Long-term outcome onrenal replacement therapy in patients who previously received a ketoacid-supplemented very-low-protein diet[J]Am J Clin Nvrtr,2009,90(4):969-974.
-
2Moln r M,Szekeresn lzs k M,Nagy J,et al.The rffect of low-protein diet supplemented with ketoacids in patients with chronic re-nal failure[J].Orv Hetil,2009,150(5):217-224.
-
3Menon V,Kopple JD,Wang X,et al.Effect of a very low-proteindiet on outcomes :long-term follow-up of the Modification of Dietin Renal Disease(MDRD)Study[J].Am J Kidney Dis,2009,53(2):208-217.
-
4Moe S,Dmeke T,Cunningham J,et al.Definition,evaluation,andclassification of renal osteodystrophy:a position statement from Kid-ney Disease:Improveing Global Outcome(KDIGO)[J].Kidney Int,2010,69:1945-1953.
-
5Nikodimopoulou M,Liakos S.Secondary hyperparathyroidism andtarget oi^ans in chronic kidney disease[J].Hippokratia,2011,15(Suppl 1):33-38.
-
6Moe S,et al.Definition,evaluation,and classification of renal os-teodystrophy ; a position statement from Kidney Disease j ImproveingGlobal Outcomes[J].Kidney Int,2010,69:1945-1953.
-
7Kurowaka K,et al.llremic bone disease:advances over the last 30years[J].J Nephrol,2009,12(Suppl 2):63-67.
-
1冯惠梅,王梅.维持性透析患者继发性甲状旁腺功能亢进性骨病的诊断与治疗[J].肾脏病与透析肾移植杂志,1999,8(3):277-279. 被引量:1
-
2晏堃.慢性肾功能不全早期合理营养支持[J].广西医学,2006,28(10):1565-1566.
-
3刘延雄,郝志强,刘志斌.原发性甲状旁腺功能亢进性骨病误诊为骨纤维结构不良1例[J].疑难病杂志,2013,12(11):891-891. 被引量:3
-
4李继芳.慢性肾功能不全早期静脉应用铁剂临床观察[J].中国实用医药,2014,9(13):180-181.
-
5田军,张建梅,王家臣.原发性甲状旁腺功能亢进性骨病的影像学诊断[J].医学影像学杂志,2006,16(11):1189-1191. 被引量:12
-
6刘先双,王林,刘亚楠,刘晓刚,解汝娟.甲状旁腺激素与心肌肥厚和心力衰竭的关系[J].医学综述,2016,22(3):431-436. 被引量:2
-
7徐子欣.厄倍沙坦联合卡托普利治疗慢性肾功能不全早期的疗效观察[J].广西医学,2005,27(12):1953-1954. 被引量:2
-
8贾金康,楼鼎秀,朱萍,汪关煜,曹红娣,董德长.激素和血生化在肾性骨病中的变化[J].中华内科杂志,1994,33(1):33-36. 被引量:6
-
9王小平,刘子栋.慢性肾功能不全患者血清甲状旁腺素、钙、磷之间的关系[J].山东医药,2001,41(5):12-13. 被引量:3
-
10林明强,宋文静,姚占成.原发性甲状旁腺功能亢进性骨病的影像学表现[J].临床放射学杂志,2010,29(3):409-411. 被引量:12