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聚苯乙烯磺酸镧治疗慢性肾功能衰竭大鼠高磷血症的研究

潘明明,苗华,洪虹,朱竹先   

  1. 山东大学医学院 山东省千佛山医院肾脏病血液净化中心, 山东 济南 250014
  • 收稿日期:2007-01-29 修回日期:1900-01-01 出版日期:2007-09-24 发布日期:2007-09-24
  • 通讯作者: 苗华

Polystyrene sulfonic lanthanum in the treatment of hyperphosphatemia in rats with chronic renal failure

PAN Ming-ming, MIAO Hua, HONG Hong, ZHU Zhu-xian   

  1. Kidney and Hemodialiysis Center, Shandong Qianfoshan Hospital, School of Clinical Medicine, Shandong University, Jinan 250012, Shandong, China
  • Received:2007-01-29 Revised:1900-01-01 Online:2007-09-24 Published:2007-09-24
  • Contact: MIAO Hua

摘要: 目的:观察聚苯乙烯磺酸镧对腺嘌呤慢性肾功能衰竭(CRF)大鼠高磷血症的影响。方法:雄性Wastar大鼠90只,参照Yokozawa方法腺嘌呤造模。将造模成功大鼠随机分为5组,分别为聚苯乙烯磺酸镧大剂量组1.5g/(kg·d)、中剂量组0.75g/(kg·d)、小剂量组0.375g/(kg·d)、碳酸钙组及模型对照组,各组大鼠每日给相应供试品,并继续给予腺嘌呤10d,连续用药22d。定期称取动物体重,观察体重变化,测定血清尿素氮(BUN)、肌酐(Scr)、磷(P)、钙(Ca)、红细胞(RBC)、血红蛋白(Hb)、血小板(PLT)、血细胞比容(HCT)浓度。于第22天给药后1?h处死大鼠,摘取双侧肾脏,行病理组织学检查。结果:大剂量组血清磷在给药21?d后降至(2.47±0.38)mmol/L,与模型对照组(3.46±1.15)mmol/L相比差异具有统计学意义(P<0.05),碳酸钙组血清钙在用药10d时即明显升高(3.48±0.40)mmol/L,与模型对照组(2.79±0.16)mmol/L相比差异有统计学意义(P<0.01),其他生化指标未见明显差异。结论:大剂量聚苯乙烯磺酸镧可有效降低腺嘌呤CRF大鼠血清磷水平,且安全性较好。

Abstract: Objective: To explore the effect of polystyrene sulfonic lanthanum on hyperphosphatemia in chronic renal failure induced by adenine. Methods: Ninety male Waster rats were fed adenine 300mg/kg·d for 15 days and were divided into five groups. The first three groups were fed 1.5g/(kg·d), 0.75g/(kg·d) and 0.375g/(kg·d) polystyrene sulfonic lanthanum, the fourth group was fed calcium carbonate and the fifth group had no drug. Feeding with adenine continued for 10 days in each group and with the corresponding drugs for 22 days. The weight and serum Ca, P, BUN, Scr, RBC, Hb, PLT and HCT were determined. At 22 days, the rats were killed and the kidneys were used!for analysis. Results: The serum phosphorus level was significantly decreased in the group fed polystyrene sulfonic lanthanum of 1.5g/kg per day compared with the normal group [(2.47±0.38)mmol/l vs (3.46±1.15)mmol/l](P<0.05). However, the serum calcium level was significantly increased in the calcium carbonate group compared with the normal group [(3.48±0.40)mmol/l vs (2.79±0.16)mmol/l](P<0.01). Conclusion: High dose polystyrene sulfonic lanthanum could efficiently reduce serum phosphorus levels in rats with chronic renal failure induced by adenine.

Key words: Polystyrene, Sulfonic lanthanum, Renal failure, chronic, Phosphorus

中图分类号: 

  • R733.4
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