{"id":16952,"date":"2018-03-09T09:04:48","date_gmt":"2018-03-09T09:04:48","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/la-osteodistrofia-renal-en-hemodialisis-diversas-posibilidades-de-tratamiento\/"},"modified":"2018-03-09T09:04:48","modified_gmt":"2018-03-09T09:04:48","slug":"la-osteodistrofia-renal-en-hemodialisis-diversas-posibilidades-de-tratamiento","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/la-osteodistrofia-renal-en-hemodialisis-diversas-posibilidades-de-tratamiento\/","title":{"rendered":"La osteodistrofia renal en hemodi\u00e1lisis: diversas posibilidades de tratamiento"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Agustina Baron Espinosa <\/strong><\/h2>\n<p>El t\u00e9rmino osteosdistrofia renal engloba de forma sindr\u00f3mica al conjunto de lesiones \u00f3seas que aparecen en la insuficiencia renal. Sin embargo, el alcance del mismo ha sufrido importantes cambios, englobando no solo la respuesta del hueso frente a la insuficiencia renal, sino tambi\u00e9n la respuesta de \u00e9ste ante las distintas modalidades terap\u00e9uticas que se utilizan en la uremia. Esta tesis refleja, en buena parte la evoluci\u00f3n de los diferentes tratamientos utilizados en los \u00faltimos a\u00f1os y obedece al prop\u00f3sito de esclarecer distintas hip\u00f3tesis patog\u00e9nicas mediante el seguimiento y control de los casos estudiados.  objetivos  los que nos planteamos en nuestra investigaci\u00f3n fueron;  1,- verificar la eficacia como quelante del f\u00f3sforo intestinal del acetato c\u00e1lcico.  2,- determinar la capacidad del acetato a dosis elevadas de suprimir la secreci\u00f3n de pthi.  3,- determinar la idoneidad del ba\u00f1o bajo en calcio en evitar efectos adversos como hipercalcemia cuando se administra acetato c\u00e1lcico a dosis elevadas y\/o calcitriol.  4,- valorar la respuesta al calcitriol endovenoso en pulsoter\u00e1pia, asociado a ba\u00f1o bajo en calcio en el dializado, y acetato c\u00e1lcico como quelante del f\u00f3sforo.  en el estudio fueron integrados un total de n=95 pacientes, los cuales fueron agrupados en tres grupos seg\u00fan la pthi basal: grupo a: pthi&lt;250 pg\/ml; grupo b; pthi entre 250-500 pg\/ml; grupo c: pthi&gt;500 pg\/ml; grupoa: pthi media 113 +- 12,49 (n=49), grupo b: pthi media 420,62 +- 19,93 (n=27), grupo c: pthi media 979 +- 128 (n=19). Se les asign\u00f3 a los diferentes grupos los siguientes tratamientos: grupo a: tto.Est\u00e1ndar con acetato c\u00e1lcico (dosis media 3,5 g\/d\u00eda); grupo b: tto.Con altas dosis de acetato c\u00e1lcico (dosis media 7,5 g\/d\u00eda); grupo c: tto.Con calcitriol i.V (dosis media 1,5 mcg\/sesi\u00f3n de di\u00e1lisis) + acetato c\u00e1lcico (dosis media 4,25 g\/d\u00eda). Todos los grupos se dializaron con una concentraci\u00f3n de calcio en el dial<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>La osteodistrofia renal en hemodi\u00e1lisis: diversas posibilidades de tratamiento<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 La osteodistrofia renal en hemodi\u00e1lisis: diversas posibilidades de tratamiento <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Agustina Baron Espinosa <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/05\/2002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jos\u00e9 Gregorio Hervas Sanchez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jos\u00e9 Rico irl\u00e9s <\/li>\n<li> Fern\u00e1ndez ruiz evaristo Jos\u00e9 (vocal)<\/li>\n<li>Manuel Manjon garcia (vocal)<\/li>\n<li>alfonso Palma \u00e1lvarez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Agustina Baron Espinosa El t\u00e9rmino osteosdistrofia renal engloba de forma sindr\u00f3mica al conjunto de lesiones \u00f3seas que [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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