Yonca SEVİM, Rümeyza KAZANCIOĞLU, Sami UZUN, Zeki AYDIN, Egemen CEBECİ, Serhat KARADAĞ, Abdullah ŞUMNU, Meltem GÜRSU, Oktay ÖZKAN, Savaş ÖZTÜRK

The factors effective on bone mineral density in peritoneal dialysis patients

Kronik böbrek yetersizliği (KBY)'nin erken evrelerinden başlayarak kemik-mineral metabolizması giderek bozulur. Ancak KDIGO-2009 kılavuzunda KBY'de kemik mineral bozukluğu ile ilişkili verilerin çoğunluğunun kanıt düzeyi düşük olduğu ifade edilmiştir. Bu çalışmada, kronik periton diyalizi (PD) hastalarımızın kemik mineral dansitesi (KMD) ölçümleri ile klinik ve biyokimyasal parame- treleri arasındaki ilişkiyi araştırdık. Hastanemizin PD ünitesinden takipli 53 hastanın demografik verileri yanında rutin hematolo- jik ve biyokimyasal tetkikleri kaydedildi. Hastalarda lomber vertebra ve femur boynundan DEXA cihazıyla kemik mineral dansitesi (KMD) ölçümü yapıldı. Hastaların lomber-T skoru -1.03±1.20[(-3.73)-(+1.75)] bulunur iken femur-T skoru -2.49±1.20[(-4.63)-(0.51)] olarak saptandı. Lomber T skoru, femur T skorundan anlamlı olarak daha yüksekti (p

Periton diyaliz hastalarında kemik dansitesini etkiliyen faktörler

Bone mineral metabolism deteriorates gradually beginning from the early stages of chronic kidney disease (CKD). But, the KDIGO-2009 guideline could not provide high quality data regarding the biochemical tests related with bone mineral disorder in CKD. The aim of our study was to analyse the relationship between bone mineral densitometry and clinical and biochemical parameters in chronic peritoneal dialysis (PD) patients. Besides the demographic parameters, routine hematological and bio- chemical analysis results of PD patients followed up in our clinic were recorded. Bone mineral density (BMD) was measured at lumbar vertebrae and femur neck using DEXA machine. The mean lumbar T- and femur T-score were -1.03±1.20 (minimum:-3.73; maximum:+1.75) and -2.49±1.20 (minimum:-4.63; maximum:-0.51), respectively. Lumbar T score was significantly higher than fe- mur T score (p

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