首页|托伐普坦联合低分子肝素治疗肾病综合征的效果及对患者凝血功能的影响

托伐普坦联合低分子肝素治疗肾病综合征的效果及对患者凝血功能的影响

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目的 探讨托伐普坦联合低分子肝素治疗肾病综合征的效果及对患者凝血功能的影响.方法 将120例肾病综合征患者随机分为两组,两组均给予常规对症治疗,同时对照组采用低分子肝素治疗,观察组采用托伐普坦联合低分子肝素治疗,比较两组的治疗效果、肾功能及凝血功能.结果 观察组治疗总有效率为93.3%,高于对照组的80.0%(P<0.05).治疗后,观察组Scr、24hUpro、BUN水平低于对照组(P<0.05).治疗后,观察组PT、TT、APTT长于对照组(P<0.05).结论 托伐普坦与低分子肝素联合治疗肾病综合征的临床效果显著,可促进患者肾功能恢复,改善机体凝血功能指标,值得临床推广应用.
Effect of Tolvaptan Combined with Low Molecular Weight Heparin on Nephrotic Syndrome and the Impact on Patients'Coagulation Function
Objective To explore the effect of tolvaptan combined with low molecular weight heparin in the treatment of nephrotic syndrome and the impact on patients'coagulation function.Methods 120 patients with nephrotic syndrome were randomly divided into two groups.Both groups were given routine symptomatic treatment.The control group was treated with low molecular weight heparin,and the observation group was treated with tolvaptan combined with low molecular weight heparin.The treatment effect,renal function and coagulation function of the two groups were compared.Results The total effective rate of treatment in the observation group was 93.3%,higher than the 80.0%in the control group(P<0.05).After treatment,the Scr,24h Upro and BUN levels of the observation group were lower than those of the control group(P<0.05).After treatment,the PT,TT and APTT of the observation group were longer than those of the control group(P<0.05).Conclusions Tolvaptan combined with low molecular weight heparin in the treatment of nephrotic syndrome has significant effect,can promote the recovery of renal function and improve the coagulation function indicators,which is worthy of clinical promotion and application.

Nephrotic syndromeLow molecular weight heparinTolvaptanRenal function

吴银、庞敏

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新乡医学院第三附属医院肾病风湿免疫科,河南新乡 453003

肾病综合征 低分子肝素 托伐普坦 肾功能

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(3)
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