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左卡尼汀对群体反应性抗体水平的影响 被引量:2

The effect of L-carnitine on panel reactive antibody
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摘要 目的探讨左卡尼汀对血液透析患者群体反应性抗体的影响。方法50例群体反应性抗体增高的血液透析患者随机分为两组,左卡尼汀治疗组30例,对照组20例,治疗组患者在每次透析结束后静脉注射左卡尼汀2.0g,疗程6个月,对照组不给药。采用ELISA方法对50例患者治疗前后群体反应性抗体进行检测。结果左卡尼汀治疗组群体反应性抗体显著下降,而对照组群体反应性抗体无显著变化,治疗后两组之间比较差异显著(P<0.01)。结论左卡尼汀可降低血液透析患者群体反应性抗体。 Objective To explore the effecl of L-carnitine on panel reaclive anlibody (PRA) in hemodialysis patienls. Methods 50 patients were classified randomly into 2 groups: L-carnitine group receiving intravenous injection of 2g L-carnitine after each hemodialysis for 6 months, and control group did not receive any L-carnitine treatment. The PRA in serum was measured by enzyme-linked immunosorbent assay (ELISA) before and after 6 monlhs of L-carnitine treatment. Results L-carnitine significantly reduced PRA levels compared with control group(P〈0. 01). PRA levels in L-carnitine group decreased significantly, with an average decrease of 22. 45G. Conclusion L- carnitine could reduce PRA levels significantly in highly sensitized patients.
出处 《解放军医学杂志》 CAS CSCD 北大核心 2005年第12期1110-1111,共2页 Medical Journal of Chinese People's Liberation Army
关键词 肾移植 肾透析 群体反应性抗体 左卡尼汀 kidney transplantation renal dialysis panel reactive antibody L-carnitine
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参考文献6

  • 1Jordan SC, Tyan D,Stablein D et al. Evaluation of intravenous immunoglobulin as an agent to lower allosensitization and improve transplantation in highly sensitized adult patients with end-stage renal disease: report of the NIH IG02 Trial. J Am Soci Nephrol,2004,15(11):3256.
  • 2Lorenz M, Regele H, Schillinger M et al. Peritransplant immunoadsorption: a strategy enabling transplantation in highly sensitized crossmatch-positive cadaveric kidney allograft recipients. Transplantation,2005, 79(6):696.
  • 3Nurhan OF, Akcay A, Sezer S et al. Effect of simvastatin in the treatment of highly sensitized dialysis patients: the pre and post-renal transplantation follow-up outcomes. Transpl Immunol,2004,13(1):39.
  • 4罗家琳,马培龙,张洪波.左卡尼汀治疗肾性贫血临床观察[J].中国血液净化,2003,2(10):565-566. 被引量:14
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二级参考文献4

  • 1[1]Wanner C, Wanner SF,Rosslec C, et al. Carnitine metabolism in patients with chronic renal failure; Effect of L-carnitine supple mentation. Kidney Int,1987,32 (suppl 22):132
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  • 4季大玺,谢红浪,梅长林,顾书华,崔若兰,袁伟杰,陆福明,林善锬,樊淑玲,黎磊石.左旋卡尼汀治疗维持性血液透析患者肉碱缺乏症的临床研究[J].中华肾脏病杂志,1999,15(3):181-184. 被引量:87

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