首页|促红细胞生成素与罗沙司他在慢性肾衰竭血液透析肾性贫血治疗中的应用价值比较

促红细胞生成素与罗沙司他在慢性肾衰竭血液透析肾性贫血治疗中的应用价值比较

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目的 分析对比促红细胞生成素与罗沙司他在慢性肾衰竭血液透析肾性贫血患者中的效果.方法 方便选取2021年3月—2023年3月六盘水首钢水钢医院收治的84例慢性肾衰竭血液透析肾性贫血患者作为研究对象,按照随机数表法分为两组,各42例.对照组予以促红细胞生成素治疗,观察组给予罗沙司他治疗,连续用药3个月,比较两组的治疗效果.结果 观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05);治疗后,观察组血红蛋白为(105.36±12.45)g/L、红细胞计数为(3.56±0.99)×1012/L、血细胞比容为(36.71±6.25)%、血清铁蛋白为(287.41±23.26)µg/L、转铁蛋白为(2.98±0.83)g/L、转铁蛋白饱和度为(35.21±3.88)%,均高于对照组的(88.72±10.42)g/L、(2.76±0.83)×1012/L、(29.84±4.46)%、(218.69±18.65)µg/L、(2.41±0.67)g/L、(26.84±3.41)%,铁调素为(96.42±9.21)ng/mL,低于对照组的(118.53±12.20)ng/mL,差异有统计学意义(t=6.642、4.013、5.799、14.938、3.463、10.501、9.374,P均<0.05);两组不良反应总发生率对比,差异无统计学意义(P>0.05).结论 罗沙司他更能够改善慢性肾衰竭血液透析肾性贫血患者的贫血状态,调节铁代谢,且无严重不良反应.
Comparison of Application Value of Erythropoietin and Roxallistat in the Treatment of Hemodialysis Renal Anemia in Chronic Renal Failure
Objective To compare the effect of erythropoietin and roxallistat in patients with chronic renal failure and hemodialysis renal anemia.Methods A total of 84 patients with chronic renal failure and hemodialysis renal anemia treated in Liupanshui Shougang Shuigang Hospital from March 2021 to March 2023 were conveniently selected as the study objects and divided into two groups according to random number table method,with 42 patients in each group.The control group treated with erythropoietin and the observation group treated with Roxallistat for 3 months.The therapeutic effect of the two groups was compared.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,Observation group hemoglobin was(105.36±12.45)g/L,red blood cell count was(3.56±0.99)×1012/L,hematocrit was(36.71±6.25)%,serum ferritin was(287.41±23.26)µg/L,transferrin was(2.98±0.83)g/L and transferrin Saturation was(35.21±3.88)%,those were higher than(88.72±10.42)g/L,(2.76±0.83)×1012/L,(29.84±4.46)%,(218.69±18.65)µg/L,(2.41±0.67)g/L,(26.84±3.41)%of control group,and ferrimodulin was(96.42±9.21)ng/mL,lower than that of control group(118.53±12.20)ng/mL,and the differences were statistically significant(t=6.642,4.013,5.799,14.938,3.463,10.501,9.374,all P<0.05).There was no significant difference in total ancidence of adverse reactions between the two groups(P>0.05).Conclusion Roxallistat can also improve the anemia status in patients with chronic renal failure and hemodialysis renal anemia,regulate iron metabolism without serious adverse reactions.

Chronic kidney failureHemodialysisRenal anemiaErythropoietinRoxallistatAdverse reaction

刘艳芬、吴梅、陈蕾

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六盘水首钢水钢医院有限公司肾内科,贵州六盘水 553000

水城区人民医院急诊科,贵州六盘水 553000

六盘水市人民医院全科医学科,贵州六盘水 553000

慢性肾衰竭 血液透析 肾性贫血 促红细胞生成素 罗沙司他 不良反应

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(10)
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