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罗沙司他治疗维持性血液透析患者肾性贫血的临床效果

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目的 研究罗沙司他治疗维持性血液透析患者肾性贫血的效果。方法 选取 2021 年 1 月至 2022 年 6 月在宜春市人民医院接受规律血液透析超过 3 个月,并且血红蛋白<110 g/L的 81 例患者作为研究对象,采用随机数字表法将其分为观察组(n=40)和对照组(n=41)。对照组接受重组人促红细胞生成素治疗,观察组接受罗沙司他治疗,入组患者在用药前空腹完善有关化验指标,服药后 12 周时再次抽血化验血常规。比较两组患者疗效、铁代谢指标、脂代谢指标、炎症因子和不良反应。结果 治疗后观察组总有效率高于对照组,差异有统计学意义(P<0。05);治疗后观察组血清铁蛋白水平低于对照组,转铁蛋白饱和度、转铁蛋白水平高于对照组,差异有统计学意义(P<0。05);治疗后观察组胆固醇、甘油三酯、低密度脂蛋白水平低于对照组,差异有统计学意义(P<0。05);治疗后观察组C反应蛋白、白细胞介素 6 水平低于对照组,差异有统计学意义(P<0。05);两组不良反应总发生率比较,差异无统计学意义(P>0。05)。结论 罗沙司他作为一种维持血液透析患者肾性贫血治疗的选择,具有显著的疗效和临床应用前景,安全性较高。
Clinical effect of Roxadustat in the treatment of renal anemia in mainte-nance hemodialysis patients
Objective To investigate the efficacy of Roxadustat in the treatment of renal anemia in maintenance hemodialy-sis patients.Methods A total of 81 patients who hemoglobin<110 g/L and received regular hemodialysis for more than 3 months in Yichun People's Hospital from January 2021 to June 2022 were selected as the study objects.They were divided into observation group(n=40)and control group(n=41)using the random number table method.The control group was treat-ed with recombinant human erythropoietin,and the observation group was treated with Roxadustat.Relevant laboratory indi-cators were improved on an empty stomach before medication,and blood was taken again at 12 weeks after medication.The efficacy,iron metabolism index,lipid metabolism index,inflammatory factors and adverse reactions were compared between the two groups.Results After treatment,the total effective rate of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).After treatment,the serum ferritin level in observation group was lower than that in control group,and the transferrin saturation and transferrin level were higher than that in control group,the differences were statistically significant(P<0.05).After treatment,the levels of cholesterol,triglyceride and low-density lipoprotein in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).After treatment,the levels of C-reactive protein and interleukin-6 in observation group were lower than those in con-trol group,and the differences were statistically significant(P<0.05).There was no significant difference in the total inci-dence of adverse reactions between the two groups(P>0.05).Conclusion Roxadustat,as a treatment option for maintaining renal anemia in hemodialysis patients,has significant efficacy and clinical application prospect with high safety.

RoxadustatRenal anemiaMaintenance hemodialysisEffect

冯斯、易建伟、陈效、胡圆

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江西省宜春市人民医院肾内科,江西宜春 336000

江西省宜春市人民医院神经外科,江西宜春 336000

罗沙司他 肾性贫血 维持性血液透析 效果

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(25)