首页|非布司他治疗慢性肾脏病伴高尿酸血症的有效性及安全性评价

非布司他治疗慢性肾脏病伴高尿酸血症的有效性及安全性评价

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目的 评价非布司他治疗慢性肾脏病(chronic kidney disease,CKD)伴高尿酸血症(hyperuricemia,HUA)的有效性及安全性.方法 目的选取2022年1月—2023年12月涟水县人民医院收治的62例CKD伴HUA患者,按治疗方法不同分为对照组(别嘌醇治疗,31例)与干预组(非布司他治疗,31例),比较两组的疗效、尿酸水平、不良反应发生率.结果 干预组的总有效率96.77%(30/31)高于对照组的74.19%(23/30),差异有统计学意义(χ2=4.679,P<0.05);治疗 1个月、3个月,干预组尿酸水平优于对照组,差异有统计学意义(P均<0.05);干预组的总不良反应率低于对照组,差异有统计学意义(P<0.05).结论 非布司他应用于CKD伴HUA患者治疗中的效果较好,安全性高,不良反应发生率低.
Efficacy and Safety Evaluation of Febuxoat in the Treatment of Chronic Kidney Disease with Hyperuricemia
Objective To evaluate the efficacy and safety of febuxoat in the treatment of chronic kidney disease(CKD)with hyperuricemia(HUA).Methods A total of sixty-two patients with CKD and HUA treated in Lianshui County People's Hospital from January 2022 to December 2023 were objectively selected and divided into control group(allo-purine treatment,thirty-one cases)and intervention group(febulistat treatment,thirty-one cases)according to differ-ent treatment methods.The efficacy,uric acid level and incidence of adverse reactions of the two groups were com-pared.Results The intervention group total effective was 96.77%(30/31)higher than 74.19%(23/31)of the control group,the difference was statistically significant(χ2=4.679,P<0.05).After 1 month and 3 months of treatment,the uric acid levels in the intervention group were better than those in the control group,the differences were statistically significant(both P<0.05).The total adverse reaction rate of intervention group was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion Febuxostat is effective in the treatment of CKD pa-tients with HUA,with high safety and low incidence of adverse reactions.

FebuxostatChronic kidney diseaseHyperuricemiaEffectivenessSecurity

梁森林、李娟、高甄典、李永刚、唐伯玉

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涟水县人民医院肾内科,江苏 涟水 223400

非布司他 慢性肾脏病 高尿酸血症 有效性 安全性

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(16)