首页|罗沙司他对非透析慢性肾脏病患者肾性贫血及脂代谢的影响

罗沙司他对非透析慢性肾脏病患者肾性贫血及脂代谢的影响

扫码查看
目的 本研究旨在评估罗沙司他对慢性肾脏病非透析患者的肾性贫血的疗效及其对脂质代谢的影响。方法 回顾性分析89例非透析慢性肾脏病合并肾性贫血患者临床资料,根据治疗方法分为重组人促红素(EPO)注射组(n=46)和罗沙司他组(n=43),分析治疗前后的红细胞数、血红蛋白、血清铁、血清铁蛋白、总胆固醇、甘油三酯水平变化,同时对比这些指标在两组间的差异。结果 两组患者基线资料除了血尿素外,其余指标均无显著差异。与治疗前相比,两组患者治疗后红细胞数和血红蛋白水平均显著增加(P<0。05),但两组间比较无统计学意义(P>0。05)。罗沙司他组血红蛋白增幅高于EPO组(P<0。05)。罗沙司他治疗后血清铁较治疗前升高(P<0。05),血清铁蛋白较治疗前差异无统计学意义(P>0。05)。罗沙司他组治疗后总胆固醇、甘油三酯较前降低(P<0。05)。结论 罗沙司他可改善非透析慢性肾脏病患者的肾性贫血相关指标,同时可改善患者的血脂代谢相关指标。
Effect of roxadustat on renal anemia and lipid metabolism in non-dialysis patients with chronic kidney disease
Objective To evaluate the efficacy of roxadustat on renal anemia and lipid metabolism in non-dialy-sis patients with chronic kidney disease.Methods The clinical data of 89 patients with non-dialysis chronic kid-ney disease with renal anemia were analyzed retrospectively.All patients were divided into two groups:EPO group(n=46)and Roxadustat group(n=43)according to treatment.The levels of red blood cell,hemoglo-bin,serum iron,serum ferritin,total cholesterol and triglyceride before and after treatment were analyzed.Re-sults There was no statistical difference in baseline clinical data between the two groups except blood urea.The level of red blood cell and hemoglobin in the two groups were significantly higher than that before treatment(P<0.05),but there was no statistically significant difference between the two groups after treatment(P>0.05).The increase of hemoglobin in Roxadustat group was higher than that in EPO group(P<0.05).Serum iron af-ter roxadustat treatment was higher than that before treatment(P<0.05),but serum ferritin levels showed no sta-tistically significant difference(P>0.05).After treatment,total cholesterol and triglyceride in Roxadustat group were lower than before treatment(P<0.05).Conclusion Roxadustat can improve renal anaemia and the metab-olism of blood lipid in non-dialysis patients with chronic kidney disease.

chronic kidney diseaseroxadustatrenal anemialipid metabolism

王雪春、陈昕、罗亚丹、田小芳、袁立英、张唐

展开 >

遵义市第一人民医院,遵义医科大学第三附属医院肾脏内科,贵州遵义 563000

慢性肾脏病 罗沙司他 肾性贫血 脂代谢

遵义市科技计划资助项目贵州省科技厅科技计划资助项目

遵义市科技合作HZ202294黔科合基础-ZK2024一般679

2024

遵义医科大学学报
遵义医科大学

遵义医科大学学报

CSTPCD
ISSN:2096-8159
年,卷(期):2024.47(10)