前列地尔联合丹参酮ⅡA治疗早期慢性肾病的临床观察
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篇名: 前列地尔联合丹参酮ⅡA治疗早期慢性肾病的临床观察
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摘要: 目的:观察前列地尔联合丹参酮ⅡA治疗早期慢性肾病(ECKD)的临床疗效及安全性。方法:选取ECKD患者138例,按随机数字表法分为A、B、C组,各46例。在常规治疗的基础上,A组患者给予丹参酮ⅡA磺酸钠注射液40 mg加入0.9%氯化钠注射液250 ml中,ivgtt,qd+前列地尔注射液10 μg加入0.9%氯化钠注射液100 ml中,ivgtt,qd;B组患者给予同等剂量前列地尔注射液治疗;C组患者给予同等剂量丹参酮ⅡA磺酸钠注射液治疗。3组患者均治疗14 d。观察3组患者临床疗效及治疗前后实验室检查指标[24 h尿蛋白定量、血肌酐(SCr)、总胆固醇(TC)、三酰甘油(TG)、尿素氮(BUN)、尿酸(UA)],并比较不良反应发生情况。结果:A组患者临床总有效率为97.83%,显著高于B组的80.43%及C组的76.09%,差异均有统计学意义(P<0.05)。3组患者治疗前24 h尿蛋白定量、SCr、TC、TG、BUN及UA的水平比较,差异均无统计学意义(P>0.05);治疗后,3组患者上述指标均显著降低,且A组显著低于B组和C组,差异均有有统计学意义(P<0.05)。A组患者不良反应发生率为10.87%,与B组的6.52%及C组的8.70%比较,差异无统计学意义(P>0.05)。结论:前列地尔联合丹参酮ⅡA治疗ECKD疗效显著,能明显改善患者的肾功能,且安全性较好。
ABSTRACT: OBJECTIVE: To observe the efficacy and safety of alprostadil combined with tanshinone ⅡA in the treatment of patients with early chronic kidney disease (ECKD). METHODS: 138 ECKD patients were randomly divided into group A, group B and group C, 46 cases in each group. On the basis of conventional treatment, group A received 40 mg Tanshinone ⅡA sodium sulfonate injection, adding into 250 ml 0.9% Sodium chloride solution, ivgtt, qd+10 μg Alprostadil injection, adding into 100 ml 0.9% Sodium chloride solution, ivgtt, qd; group B received the same dose with Alprostadil injection; group C received the same dose with Tanshinone ⅡA sodium sulfonate injection. All patients were treated for 14 d. Clinical efficacy, laboratory indexes [24 h urine protein, serum creatinine (SCr), total cholesterol (TC), triglyceride (TG), blood urea nitrogen (BUN), uric acid (UA)] in 3 groups before and after treatment were observed, and the incidence of adverse reactions was compared. RESULTS: The total effective rate in group A was 97.83%, which was significantly higher than group B (80.43%) and group C (76.09%), the differences were statistically significant (P<0.05). Before treatment, there were no significant differences in 24 h urine protein, SCr, TC, TG, BUN and UA among 3 groups (P>0.05); after treatment, all above-mentioned indexes significantly reduced, and group A was lower than group B and group C, the differences were statistically significant (P<0.05). There was no significant difference in the incidence of adverse reactions among group A (10.87%), group B (6.52%) and group C (8.70%) (P>0.05). CONCLUSIONS: Alprostadil combined with tanshinone ⅡA shows good efficacy in the treatment of ECKD, it can improve renal function in patients with good safety.
期刊: 2016年第27卷第23期
作者: 杨蓉,常佳丽
AUTHORS: YANG Rong,CHANG Jiali
关键字: 前列地尔;丹参酮ⅡA;早期慢性肾病;临床疗效
KEYWORDS: Alprostadil; Tanshinone ⅡA; Early chronic kidney disease; Clinical efficacy
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