首页|罗沙司他对血液透析患者血脂代谢的调节作用

罗沙司他对血液透析患者血脂代谢的调节作用

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目的 观察罗沙司他在纠正血液透析患者贫血的同时对血脂代谢的调节作用。方法 纳入 60 例在南京鼓楼医院接受血液透析治疗的慢性肾脏病患者,且合并肾性贫血。其中包括 30 例患者接受促红细胞生成素(EPO)每周10 000 U治疗;30 例患者接受罗沙司他治疗,按照体质量给药。测量患者的血红蛋白(Hb)水平,并收集血脂和铁代谢相关指标的数据进行统计分析。结果 经过 6 个月的治疗,两组患者平均Hb水平均显著高于基线水平,其中罗沙司他组的平均Hb水平高于EPO组[(114。1±7。88)g·L-1vs。(122。23±10。33)g·L-1,P<0。05],但是两组达标率差异无统计学意义(77%vs。93%,P>0。05)。罗沙司他组总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)和三酰甘油(TG)明显降低(P<0。05),而EPO组则没有显著变化。两组对比,罗沙司他组血脂水平有所改善(P<0。05)。与EPO相比,罗沙司他也显示了对铁代谢指标的改善。结论 罗沙司他在纠正肾性贫血的同时,也表现出了改善血脂代谢的作用。
Regulation Effect of Roxadustat on Blood Lipid Metabolism in Hemodialysis Patients
Objective To observe the regulatory effect of roxadustat on lipid metabolism while correcting anemia in hemodialysis patients.Methods Sixty patients with chronic kidney disease(CKD)receiving hemodialysis treatment at Nanjing Drum Tower Hospital and combined with concurrent renal anemia were selected.These included 30 patients receiving erythropoietin(EPO)therapy at a dose of 10 000 U per week,and 30 patients receiving roxadustat treatment at a dose based on body weight.The patients'hemoglobin levels were measured,and data on lipid and iron metabolism-related indicators were collected for statistical analysis.Results After 6 months of treatment,the mean hemoglobin levels of both groups of patients were significantly higher than the baseline levels.The mean hemoglobin level in the roxadustat group was higher than that in the EPO group(114.1±7.88 vs.122.23±10.33,P<0.05),but there was no significant difference in the achievement rate between the two groups(77%vs.93%,P>0.05).The total cholesterol(TC),low-density lipoprotein cholesterol(LDL-C),and triglycerides(TG)in the roxadustat group decreased significantly(P<0.05),while there was no significant change in the EPO group.Compared with the EPO group,roxadustat showed an improvement in iron metabolism indicators.Conclusion Roxadustat has been shown to improve lipid metabolism while correcting anemia.

RoxadustatRenal anemiaBlood lipid metabolism

刘紫秋、杨婷、曹馨瑞、王路路、葛卫红

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南京中医药大学中西医结合鼓楼临床医学院,南京 210008

南京大学医学院附属鼓楼医院药学部,南京 210008

罗沙司他 肾性贫血 血脂代谢

江苏省研究型医院学会精益化用药科研基金资助项目中国药学会全国医药信息网2022科普研究重点项目基金资助项目

JY202013CMEI2022KPYJ00201

2023

医药导报
中国药理学会 华中科技大学同济医学院附属同济医院 中国医药商业协会

医药导报

CSTPCD北大核心
影响因子:1.042
ISSN:1004-0781
年,卷(期):2023.42(12)
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