首页|罗沙司他辅助促红细胞生成素对肾性贫血患者疗效及对转铁蛋白、转铁蛋白饱和度的影响

罗沙司他辅助促红细胞生成素对肾性贫血患者疗效及对转铁蛋白、转铁蛋白饱和度的影响

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目的 探讨罗沙司他辅助促红细胞生成素(erythropoietin,EPO)对肾性贫血(renal anemia,RA)患者的疗效及对转铁蛋白(transferrin,TRF)、TRF 饱和度(transferrin saturation,TSAT)等的影响.方法 选择 2021年1月至 2023年12月明光市人民医院肾病医学科接受治疗的RA患者179例,以随机数表法分为试验组(n=90,EPO+罗沙司他)和对照组(n=89,EPO),两组均治疗12个月.比较两组临床疗效、TRF、TSAT、贫血指标[红细胞(red blood cell,RBC)、血红蛋白(hemoglobin,Hb)、血清铁蛋白(serum ferritin,SF)]水平及不良反应发生情况.结果 治疗后,试验组临床有效率高于对照组(91.11%vs 79.78%,P<0.05).两组TRF、TSAT、RBC、Hb、SF水平较前均升高(P<0.05),且试验组高于对照组(P<0.05).试验组及对照组不良反应发生率分别为6.67%、10.11%,无明显差异(P>0.05).结论 罗沙司他辅助EPO治疗RA效果较佳,改善TRF、TSAT水平及贫血情况良好.
Effect of roxallistat assisted erythropoietin on renal anemia patients and its effect on transferrin and transferrin saturation
Objective To investigate the effect of roxallistat assisted erythropoietin(EPO)on patients with renal anemia(RA)and its effect on transferrin(TRF)and TRF saturation(TSAT)levels.Methods A total of 179 RA patients treated in the department of nephrology,Mingguang people's hospital from January 2021 to December 2023 were selected and divided into experimental group(n=90,EPO+roxallistat)and control group(n=89,EPO)by random number table method.Both groups were treated for 12 months.The clinical efficacy,TRF,TSAT,serum indexes of anemia[red blood cell(RBC),hemoglobin(Hb),serum ferritin(SF)]and the incidence of adverse reactions were compared between the two groups.Results After treatment,the clinical effective rate of experimental group was higher than that of control group(91.11%vs 79.78%,P<0.05).The levels of TRF,TSAT,RBC,Hb and SF in both groups were higher than before(P<0.05),and the experimental group was higher than the control group(P<0.05).The incidence of adverse reactions in experimental group and control group was 6.67%and 10.11%,respectively,with no significant difference(P>0.05).Conclusion Roxallistat assisted EPO in the treatment of RA is effective,and can improve the level of TRF,TSAT and anemia.

roxallistaterythropoietinrenal anemiatransferrintransferrin saturation

杨永彪、丁广贵、何猛、钟颉、吴雪平

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明光市人民医院肾病医学科,安徽滁州 239400

蚌埠医学院第一附属医院肾病科,安徽蚌埠 233004

罗沙司他 促红细胞生成素 肾性贫血 转铁蛋白 转铁蛋白饱和度

2024

世界临床药物
上海医药工业研究院

世界临床药物

CSTPCD
影响因子:0.849
ISSN:1672-9188
年,卷(期):2024.45(9)
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