首页|罗沙司他治疗老年非透析慢性肾脏病肾性贫血的疗效观察

罗沙司他治疗老年非透析慢性肾脏病肾性贫血的疗效观察

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目的:观察罗沙司他治疗老年(≥65岁)非透析慢性肾脏病(CKD)肾性贫血的临床疗效和安全性.方法:筛选使用罗沙司他治疗的老年非透析CKD患者,收集患者一般情况、使用罗沙司他治疗前后贫血相关指标、铁代谢和脂代谢指标,以及药物不良反应.结果:(1)共纳入58例,年龄76.0(69.0,83.0)岁.治疗3个月后Hb、RBC及Hct显著升高(P<0.001),SF显著下降(P<0.05),TIBC显著升高(P<0.05),而TSAT及SI较基线无显著改变(P>0.05).(2)补充铁剂组Hb升高幅度、Hb应答率均显著高于未补充铁剂组(P<0.05).(3)治疗前后血钾水平及高钾血症发生率差异无统计学意义(P>0.05).结论:小剂量罗沙司他可显著改善老年非透析CKD患者肾性贫血状态,同时口服铁剂有助于纠正贫血;罗沙司他未显著增加高钾血症发生率.
Effect of Roxadustat on Renal Anemia in Elderly Patients with Non-dialysis Chronic Kidney Disease
To investigate clinical efficacy and safety of roxadustat on renal anemia in elderly patients with non-dialysis chronic kidney disease (NDD-CKD). Methods:NDD-CKD patients (age≥65 years) treated with roxadustat were en-rolled. The changes of laboratory parameters before and after roxadustat treatment were analyzed retrospectively. Results:(1)A total of fifty-eight patients were included in this study with an average age of 76. 0(69.0,83.0) years old. After 3 months of treatment,Hb,RBC and HCT increased significantly (P<0.001);SF decreased significantly (P<0.05),TIBC increased significantly (P<0.05),but TSAT and SI did not change significantly (P>0.05). (2)The mean change from baseline in Hb level and Hb response rate in iron supplementation group were significantly higher than those in non-iron supplementation group (P<0.05). (3)There was no significant difference in serum potassium level and incidence of hyperkalemia before and after treatment (P>0.05). Conclu-sion:Low-dose roxadustat significantly improved renal anemia in elderly patients with NDD-CKD,while oral iron therapy helped to correct the anemia. Roxadustat did not increase the incidence of hyperkalemia.

ElderlyChronic kidney diseaseRenal anemiaRoxadustatIron

王艳艳、王国勤、徐潇漪、卞维静、程虹

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首都医科大学附属北京安贞医院肾内科 北京 100029

老年 慢性肾脏病 肾性贫血 罗沙司他 铁剂

2024

中国中西医结合肾病杂志
中国中西医结合学会

中国中西医结合肾病杂志

CSTPCD
影响因子:1.061
ISSN:1009-587X
年,卷(期):2024.25(10)