首页|罗沙司他对血液透析肾性贫血患者血液生化指标的影响及成本效果探究

罗沙司他对血液透析肾性贫血患者血液生化指标的影响及成本效果探究

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目的 探讨罗沙司他对血液透析肾性贫血患者的影响。方法 取 2021 年 7 月~2022 年 12 月龙川县人民医院血液透析肾性贫血患者80例,以随机数表法分为两组,各40例;对照组重组人促红素注射液治疗,观察组罗沙司他治疗。对比治疗效果、不良反应发生率、成本,测定血液生化指标[血红蛋白(Hb)、血细胞比容(HCT)和促红细胞生成素(EPO)]水平,全自动生化分析仪检测铁代谢指标[转铁蛋白(TRF)、铁蛋白(FER)]水平。结果 观察组治疗有效率 87。50%(35/40)高于对照组 67。50%(27/40)(P<0。05);治疗后,两组患者Hb、HCT、EPO水平升高,且观察组水平较高(P<0。05);治疗后,两组患者TRF水平升高,且观察组水平较高,两组FER水平降低,且观察组水平较低(P<0。05);观察组治疗成本高于对照组(P<0。05);观察组不良反应发生率 7。50%低于对照组 25。00%(P<0。05)。结论 罗沙司他对血液透析患者肾性贫血虽成本较高,但其效果较好,能够改善患者的贫血情况,促进铁代谢,且安全性较高。
Study of the influence and cost-effectiveness of roxostat on blood biochemical indexes in hemodialysis patients with renal anemia
Objective To investigate the effect of roxostat on hemodialysis patients with renal anemia.Methods A total of 80 patients with hemodialysis renal anemia were selected from Longchuan County People's Hospital from July 2021 to December 2022 and divided into two groups with 40 cases each by random number table method.The control group was treated with recombinant human erythropoietin injection,and the observation group was treated with roxostat.The therapeutic effect,adverse reactions incidence and cost were compared.The blood biochemical indexes[hemoglobin(Hb),hematocrit(HCT)and erythropoietin(EPO)]levels were determined.The iron metabolism indexes[transferrin(TRF)and ferritin(FER))]levels were detected by automatic biochemical analyzer.Results The effective rate of the observation group was 87.50%(35/40)higher than that of the control group 67.50%(27/40)(P<0.05).After treatment,the levels of Hb,HCT and EPO in both groups were significantly increased,and the levels in the observation group were higher(P<0.05).After treatment,TRF levels in both groups were significantly increased,and the observation group was higher,while FER levels in both groups were decreased,and the observation group was lower(P<0.05).The treatment cost in the observation group was higher than that in the control group(P<0.05).The incidence of adverse reactions in the observation group was 7.50%lower than that in the control group 25.00%(P<0.05).Conclusion Although the cost of roxostat is higher for renal anemia in hemodialysis patients,its effect is better,it can improve the anemia condition of patients,promote iron metabolism and has high safety.

RoxostatHemodialysisRenal anemiaIron metabolismHemoglobin

王欢、钟燕玲、杨庆祥

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龙川县人民医院血液净化中心,广东河源 517300

罗沙司他 血液透析 肾性贫血 铁代谢 血红蛋白

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(4)
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