应用蛋白质负荷试验评估高血压患者肾脏贮备功能

Deterioration of Renal Functional Reserve in Patients with Early EssentialHypertension

  • 摘要: 作者对11例正常青壮年、12例正常老年人、肾功能正常的9例青壮年原发性高血压(EH)患者和16例老年EH患者进行蛋白质负荷试验,观察其肾脏贮备功能。结果表明蛋白质负荷后正常青壮年人的肌酐清除率(Ccr)的基础Ccr明显上升(P<0.05),正常老年人有所增加(P<0.02),EH患者虽有所增加,但低于同龄的正常人的增加值。提示EH患者肾脏贮备功能减退,蛋白质负荷试验可作为检测EH患者肾脏贮备功能的有效方法。

     

    Abstract: In this paper,protein loading was porformed with cooked egg albumin 0.8g/kg and salt 3.4g.In control group,only same amount of salt in salin was given. Ccr was measured 4h before and 3h after the protein loading or saline taking only. The Results showed that the Ccr in the health young men was significantly increased(P<0. 05),but a little higher than baseline(P<0.02)in the healthy elder men,and the Ccr of patients with essential hypertension was increased from baseline,but significantly lower than that of the same age healthy men following protein loading(P<0.01).These results suggested that renal functional reserve war decreased in patients with essential hypertension.

     

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