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JCR 2016
جستجوی مقالات
جمعه 28 آذر 1404
Iranian Journal of Kidney Diseases
، جلد ۳، شماره ۳، صفحات ۱۶۲-۰
عنوان فارسی
چکیده فارسی مقاله
کلیدواژههای فارسی مقاله
عنوان انگلیسی
Effects of Heparin and Dalteparin on Oxidative Stress During Hemodialysis in Patients With End-Stage Renal Disease
چکیده انگلیسی مقاله
Introduction. Dialysis-induced oxidative stress is one of the mechanisms of atherosclerotic changes. Heparin, used in hemodialysis, is an anticoagulant drug with anti-inflammatory and antioxidant effects. This study was planned in order to evaluate the antioxidant effects of heparin and dalteparin (low-molecular weight heparin). Materials and Methods. Twenty-two patients underwent 3 hemodialysis sessions with 48-hour intervals. They underwent hemodialysis with heparin, with a bolus dose of 1000 U followed by 1000 U/h during the procedure. The second hemodialysis was done using hypertonic saline solution instead of heparin, and the third, using dalteparin, 4000 U, infused during hemodialysis. Before and after each dialysis session, we measured serum levels of total blood cholesterol, triglyceride, high- and low-density lipoprotein cholesterols and oxidized low-density lipoprotein cholesterol, in addition to total antioxidant capacity and paraoxonase 1 activity. Results. Serum concentrations of triglyceride, cholesterol, and oxidized low-density lipoprotein cholesterol, as well as paraoxonase activity and total antioxidant capacity equally increased after the three hemodialysis sessions. Heparin and daltepain increased total antioxidant capacity, but they did not change the ratio of paraoxonase 1 to high-density lipoprotein cholesterol after hemodialysis. No significant differences were found through the study between the two heparin products in their antioxidant activities. Conclusions. Regarding these findings and considering higher price and less availability of dalteparin in comparison to conventional heparin, we recommend using conventional heparin during hemodialysis as the anticoagulant-antioxidant agent.
کلیدواژههای انگلیسی مقاله
نویسندگان مقاله
امیر احمد نصیری | amir ahmad nassiri
منیر السادات حاکمی | monir sadat hakemi
مهرداد صولتی | mehrdad soulati
مهران مرعشیان | mehran marashian
خسرو رهبر | khosrow rahbar
فریدون عزیزی | fereidoun azizi
نشانی اینترنتی
http://www.ijkd.org/index.php/ijkd/article/view/178
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کد مقاله (doi)
زبان مقاله منتشر شده
en
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نوع مقاله منتشر شده
ORIGINAL | Dialysis
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