首页|肾康注射液联合前列地尔注射液治疗慢性肾衰竭患者的效果

肾康注射液联合前列地尔注射液治疗慢性肾衰竭患者的效果

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目的:观察肾康注射液联合前列地尔注射液治疗慢性肾衰竭患者的效果.方法:选取 2020 年 8 月至 2023 年 8 月该院收治的 156 例慢性肾衰竭患者进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各 78 例.两组均予以常规治疗,在此基础上,对照组予以前列地尔注射液治疗,研究组在对照组基础上联合肾康注射液治疗,两组均治疗28 d.比较两组临床疗效,治疗前后炎性因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)]、肾功能指标[血肌酐(Scr)、血尿素氮(BUN)、24 h尿蛋白定量(24hUP)]、肾纤维化指标[Ⅳ型胶原蛋白(Ⅳ-C)、层粘连蛋白(LN)、透明质酸(HA)、转化生长因子-β1(TGF-β1)]水平,以及不良反应发生率.结果:研究组治疗总有效率为93.59%(73/78),高于对照组的83.33%(65/78),差异有统计学意义(P<0.05);治疗后,研究组TNF-α、IL-1β、IL-6 水平均低于对照组,差异有统计学意义(P<0.05);治疗后,研究组Scr、BUN、24hUP水平均低于对照组,差异有统计学意义(P<0.05);治疗后,研究组Ⅳ-C、LN、HA、TGF-β1水平均低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:肾康注射液联合前列地尔注射液治疗慢性肾衰竭患者可提高治疗总有效率,降低炎性因子、肾功能指标、肾纤维化指标水平,效果优于单纯前列地尔注射液治疗.
Effects of Shenkang injection combined with Alprostadil injection in treatment of patients with chronic renal failure
Objective:To observe effects of Shenkang injection combined with Alprostadil injection in treatment of patients with chronic renal failure.Methods:A prospective study was conducted on 156 patients with chronic renal failure admitted to this hospital from August 2020 to August 2023.According to the random number table method,they were divided into study group and control group,78 cases in each group.Both groups were given routine treatment.On this basis,the control group was treated with Alprostadil injection,while the study group was treated with Shenkang injection on the basis of that of the control group.Both groups were treated for 28 d.The clinical efficacy,the levels of inflammatory factors[tumor necrosis factor-α(TNF-α),interleukin-1β(IL-1β),interleukin-6(IL-6)],renal function indexes[serum creatinine(Scr),blood urea nitrogen(BUN),24 h urine protein quantification(24hUP)]and renal fibrosis indexes[type IV collagen protein(IV-C),laminin(LN),hyaluronic acid(HA),transforming growth factor-β1(TGF-β1)]before and after the treatment,and incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the study group was 93.59%(73/78),which was higher than 83.33%(65/78)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of TNF-α,IL-1β and IL-6 in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of Scr,BUN and 24hUP in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of IV-C,LN,HA and TGF-β1 in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Shenkang injection combined with Alprostadil injection in the treatment of the patients with chronic renal failure can improve the total effective rate of treatment and reduce the levels of inflammatory factors,renal function indexes and renal fibrosis indexes.Moreover,it is superior to simple Alprostadil injection treatment.

Alprostadil injectionShenkang injectionChronic renal failureRenal functionInflammatory factorRenal fibrosisAdverse reaction

朱佳佳、吴茜彤、焦亚彬

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汝州市第一人民医院肾内科,河南 平顶山 467500

前列地尔注射液 肾康注射液 慢性肾衰竭 肾功能 炎性因子 肾纤维化 不良反应

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(19)
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