首页|金水宝联合左卡尼汀治疗慢性肾功能衰竭效果观察

金水宝联合左卡尼汀治疗慢性肾功能衰竭效果观察

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目的 为分析慢性肾功能衰竭(CRF)患者采用金水宝与左卡尼汀的临床疗效.方法 随机数字表法把 2021 年1 月至 2022 年 7 月河南科技大学第一附属医院收治的 68 例CRF患者分为两组.所有患者入院后均进行血液透析治疗,对照组(n=34 例)静脉注射左卡尼汀注射液治疗,观察组(n=34 例)在此基础上口服金水宝片治疗,持续治疗 10 周.比较两组临床疗效,肾功能指标[血肌酐(Scr)、尿素氮(BUN)、内生肌酐清除率(Ccr)],炎症因子[脑瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、C-反应蛋白(CRP)],营养指标及不良反应.结果 连续治疗 10 周后,与对照组相比,观察组总有效率较高;Scr、BUN较低,Ccr较高,TNF-α、IL-6 及CRP水平较低;总蛋白、白蛋白及血红蛋白水平较高;差异均有统计学意义(P<0.05).两组不良反应比较差异无统计学意义(P>0.05).结论 采用金水宝与左卡尼汀治疗CRF维持性血液透析患者,临床疗效显著,有一定应用及推广价值.
Observation on the Effect of Jinshuibao Combined with Levocarnitine in the Treatment of Patients with Chronic Renal Failure
Objective To investigate the clinical efficacy of using jinshuibao with levocarnitine in patients with chronic renal failure(CRF).Methods Sixty-eight patients with CRF admitted to the First Affiliated Hospital of Henan University of Science and Technology from January 2021 to July 2022 were selected,according to the random number table method divided into two groups.All patients were treated with haemodialysis after admission,the control group(34 cases)was treated with intravenous levocarnitine injection,and the observation group(34 cases)was treated with oral jinshuibao tablets on the basis of this treatment,which lasted for 10 weeks.The clinical efficacy,renal function indexes[blood creatinine(Scr),urea nitrogen(BUN),endogenous creatinine clearance(Ccr)],inflammatory factors[brain tumour necrosis factor-α(TNF-α),interleukin-6(IL-6),C-reactive protein(CRP)],nutritional indexes,and adverse reactions of the two groups were compared.Results Compared with the control group,the observation group had a higher total effective rate,lower Scr and BUN,higher Ccr,lower levels of TNF-α,IL-6 and CRP,and higher levels of total protein,albumin and haemoglobin,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the comparison of adverse reactions between the two groups(P>0.05).Conclusion The use of jinshuibao and levocarnitine in the treatment of CRF maintenance haemodialysis patients has remarkable clinical efficacy and has certain application and promotion value.

Chronic renal failureJinshuibaoLevocarnitineRenal functionInflammatory responseNutritional status

李佳、曲文艳、吴云

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河南科技大学第一附属医院,河南 洛阳 471000

慢性肾功能衰竭 金水宝 左卡尼汀 肾功能 炎症反应 营养状况

2024

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江西省药学会

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影响因子:0.672
ISSN:1672-2809
年,卷(期):2024.21(3)