首页|别嘌呤醇治疗痛风性肾病疗效观察及血肌酐、尿素氮水平的影响

别嘌呤醇治疗痛风性肾病疗效观察及血肌酐、尿素氮水平的影响

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目的 观察别嘌呤醇在治疗痛风性肾病中的应用,评价其临床效果与对血肌酐、尿素氮水平的影响.方法 择期2015年4月~2017年5月间青海省西宁市第一人民医院院收治的痛风性肾病患者126例患者为研究对象,采用双盲随机法分为对照组与观察组,各63例,给予对照组患者基础治疗,观察组在对照组基础上联用别嘌呤醇治疗,比较2组患者临床治疗效果与对血肌酐、尿素氮、血压等水平的影响.结果 经治疗12个月后,相比治疗前,2组患者血清尿酸、血肌酐、尿素氮、血压水平(收缩压、舒张压)均有所改善,且观察组改善效果明显优于对照组(P<0.05);观察组治疗组总有效率为88.89%(56/63),对照组为74.60%(47/63),2组差异具有统计学意义(P<0.05).结论 别嘌呤醇应用于痛风性肾病的治疗中可取得一定疗效,有助于提高临床治疗效果,改善患者临床症状,具有实用价值.
Effect of allopurinol on the treatment of gouty nephropathy and the effects of serum creatinine and urea nitrogen levels
Objective To observe the application of allopurinol in the treatment of gouty nephropathy, and evaluate its clinical effect on the level of serum creatinine and urea nitrogen. Methods Patients with gouty nephropathy from April 2015 to May 2017 in Xining first people's hospital 126 patients as the research object, divided into observation group and control group of 63 cases with double blind random method, given the reference group of patients basic treatment, the observation group treated with allopurinol in the reference group on the basis, effects were compared between the two groups the clinical therapeutic effect and serum creatinine and blood urea nitrogen, blood pressure level. Results After 12 months of therapy, compared two groups of patients before treatment, serum uric acid, creatinine, blood urea nitrogen, blood pressure (systolic blood pressure, diastolic blood pressure) were improved, and the observation group was obviously better than that of control group (P<0.05); the observation group total efficiency of treatment group was 88.89% (56/63), the reference group was 74.60% (47/63), with significant difference between two groups (P<0.05). Conclusion Allopurinol can be used in the treatment of gouty nephropathy. It can help to improve the clinical effect and improve the clinical symptoms of the patients. It is of practical value.

allopurinolgouty nephropathyserum creatinineurea nitrogencurative effect

吴文英、张如峰、马凤英、包淑珍、李赟、张海生

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青海省西宁市第一人民医院 风湿免疫血液科,青海 西宁 810000

别嘌呤醇 痛风性肾病 血肌酐 尿素氮 疗效

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(9)
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