首页|罗沙司他治疗肾性贫血对患者微炎症状态及贫血指标的影响

罗沙司他治疗肾性贫血对患者微炎症状态及贫血指标的影响

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目的 分析为肾性贫血患者提供促红细胞生成素治疗和罗沙司他治疗对其微炎症状态及贫血指标的影响.方法 回顾性选取2020年1月—2024年1月上海天佑医院治疗的70例肾性贫血患者的临床资料,根据不同治疗方案进行分组.其中对照组(35例)为促红细胞生成素治疗,研究组(35例)为罗沙司他治疗,比较两组治疗前后贫血指标、微炎症及炎症指标、铁代谢指标、不良反应发生率.结果 治疗后,研究组红细胞计数、血细胞比容、血红蛋白水平均比对照组高,差异有统计学意义(P均<0.05).治疗后,研究组的C反应蛋白、白细胞介素-6、降钙素原水平均比对照组低,差异有统计学意义(P均<0.05).治疗后,研究组的转铁蛋白饱和度(35.81±3.62)%、铁蛋白水平(292.32±38.65)µg/L均比对照组高,差异有统计学意义(t=11.166、8.322,P均<0.05).研究组不良反应发生率与对照组相近,差异无统计学意义(P>0.05).结论 为肾性贫血患者提供罗沙司他治疗有显著效果,可缓解贫血症状,减轻微炎症状态,促进铁代谢水平恢复,安全性高.
Effect of Rosallistat on Microinflammatory Status and Anemia Indexes in Patients with Renal Anemia
Objective To analyze the effects of erythropoietin therapy and rosallistat therapy on microinflammatory sta-tus and anemia indexes in patients with renal anemia.Methods The clinical data of 70 patients with renal anemia treated in Shanghai Tianyou Hospital from January 2020 to January 2024 were retrospectively selected and grouped according to different treatment regimens.The control group(35 cases)was treated with erythropoietin,and the study group(35 cases)was treated with rosallistat.Anemia indexes,microinflammation and inflammation indexes,iron me-tabolism indexes,and incidence of adverse reactions were compared between the two groups before and after treat-ment.Results After treatment,the erythrocyte count,hematocrit and hemoglobin levels in the study group were higher than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the aver-age levels of C-reactive protein,interleukin-6 and calcitonin in the study group were lower than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,the transferrin saturation was(35.81±3.62)% and ferritin level was(292.32±38.65)µg/L,which in the study group were higher than those in the control group,and the differences were statistically significant(t=11.166,8.322,both P<0.05).The incidence of ad-verse reactions in the study group was similar to that in the control group,but the difference was not statistically sig-nificant(P>0.05).Conclusion Roxallistat treatment for renal anemia patients has a significant effect,can alleviate ane-mia symptoms,reduce micro-inflammation,promote iron metabolism level recovery,with high safety.

Renal anemiaAnemia indexRoxallistatMicroinflammatory state

欧玟君、张冉

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上海天佑医院肾内科,上海 200331

肾性贫血 贫血指标 罗沙司他 微炎症状态

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(14)