首页|百令胶囊联合肾衰宁片治疗慢性肾功能衰竭患者的临床疗效及对肾纤维化及微炎症状态的影响

百令胶囊联合肾衰宁片治疗慢性肾功能衰竭患者的临床疗效及对肾纤维化及微炎症状态的影响

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目的:探讨百令胶囊联合肾衰宁片治疗慢性肾功能衰竭患者的临床疗效及对患者肾纤维化及微炎症状态的影响.方法:选取2020年4月~2023年2月期间某院接诊的172例慢性肾功能衰竭患者作为研究对象,采用随机数字表法分为对照组和观察组,每组86例.对照组患者给予肾衰宁片,观察组患者在对照组治疗基础上加用百令胶囊,两组均治疗2个月.比较两组患者肾纤维化指标[结缔组织生长因子(CTGF)、转化生长因子-β1(TGF-β1)、Ⅳ型胶原蛋白(Col-Ⅳ)]、肾功能指标(尿素氮、血肌酐)、炎症因子[肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)、C反应蛋白(CRP)]、临床疗效、生活质量及不良反应发生情况.结果:治疗后,两组患者血清CTGF、TGF-β1、Col-Ⅳ、尿素氮、血肌酐水平均降低(P<0.05),且观察组低于对照组(P<0.05);两组患者血清CRP、IL-6、TNF-α水平均降低(P<0.05),且观察组低于对照组(P<0.05).观察组患者治疗总有效率(94.19%)高于对照组(79.07%,P<0.05).两组患者生活质量评分均升高(P<0.05),且观察组高于对照组(P<0.05).观察组患者不良反应总发生率(5.81%)低于对照组(16.28%,P<0.05).结论:百令胶囊联合肾衰宁片治疗慢性肾功能衰竭患者临床疗效较好,可有效抑制患者肾纤维化进程,减轻微炎症状态,提高生活质量,且不会增加不良反应的发生风险.
Clinical Efficacy of Bailing Capsules Combined with Shenshuaining Tablets in the Treatment of Patients with Chronic Renal Failure and its Effect on Renal Fibrosis and Microinflammatory State
Objective:To explore the clinical efficacy of Bailing capsules combined with Shenshuaining tablets in the treatment of patients with chronic renal failure and its effect on renal fibrosis and microinflammatory state.Methods:A total of 172 patients with chronic renal failure treated in a hospital from April 2020 to February 2023 were selected and assigned to the control group and observation group by random number table method,with 86 patients in each group.The control group was treated with Shenshuaining tablets,the observation group was treated with Bailing capsules in addition to the treatment given in the control group,and both groups were treated for 2 months.The indexes of renal fibrosis[connective tissue growth factor(CTGF),transforming growth factor-β1(TGF-β1),type Ⅳ collagen(Col-Ⅳ)],renal function indicators(urea nitrogen,blood creatinine),inflammatory factors[tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),C-reactive protein(CRP)],clinical response,quality of life and adverse reactions were compared between the two groups.Results:After treatment,the levels of serum CTGF,TGF-β1,Col-Ⅳ,urea nitrogen and blood creatinine were decreased in both groups(P<0.05),and were lower in the observation group than those in the control group(P<0.05).The serum levels of CRP,IL-6 and TNF-α were decreased in both groups(P<0.05),and were lower in the observation group than those in the control group(P<0.05).The total response rate in the observation group(94.19%)was higher than that in the control group(79.07%,P<0.05).The score of quality of life was increased in both groups(P<0.05),and was higher in the observation group than that in the control group(P<0.05).The total incidence of adverse reactions in the observation group(5.81%)was lower than that in the control group(16.28%,P<0.05).Conclusion:Bailing capsules combined with Shenshuaining tablets in the treatment of patients with chronic renal failure exhibited good clinical efficacy as it could effectively inhibit the renal fibrosis,alleviate the microinflammatory state,and improve the quality of life,without additional risks of adverse reactions.

chronic renal failureBailing capsulesShenshuaining tabletsrenal fibrosismicroinflammatory state

孙林成、宋明爱、李建锋、程维丽、常茵

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南阳市第一人民医院肾病内科,南阳 473000

慢性肾功能衰竭 百令胶囊 肾衰宁片 肾纤维化 微炎症状态

河南省医学科技攻关计划联合共建项目

LHGJ20191450

2024

中国合理用药探索
中国执业药师协会

中国合理用药探索

影响因子:0.62
ISSN:2096-3327
年,卷(期):2024.21(6)