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纸质出版日期:2015
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刘干炎, 王国斌, 陈帮明, 等. 排毒保肾丸联合缬沙坦对腹膜透析患者残余肾功能的保护作用[J]. 中国实验方剂学杂志, 2015,21(16):192-196.
LIU Gan-yan, WANG Guo-bin, CHEN Bang-ming, et al. Protective Effect of Paidu Baoshen Pills and Valsartan on Residual Renal Function of Patients with Peritoneal Dialysis[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(16): 192-196.
刘干炎, 王国斌, 陈帮明, 等. 排毒保肾丸联合缬沙坦对腹膜透析患者残余肾功能的保护作用[J]. 中国实验方剂学杂志, 2015,21(16):192-196. DOI: 10.13422/j.cnki.syfjx.2015160192.
LIU Gan-yan, WANG Guo-bin, CHEN Bang-ming, et al. Protective Effect of Paidu Baoshen Pills and Valsartan on Residual Renal Function of Patients with Peritoneal Dialysis[J]. Chinese journal of experimental traditional medical formulae, 2015, 21(16): 192-196. DOI: 10.13422/j.cnki.syfjx.2015160192.
目的: 探讨排毒保肾丸联合缬沙坦在保护腹膜透析患者残余肾功能(RRF)方面的作用。 方法: 选择本院2012年1月—2014年3月符合纳入条件的腹膜透析患者76例
采用隐匿数字随机法分为两组
对照组38例在腹膜透析的同时给予缬沙坦及西医基础治疗;研究组38例患者在对照组基础上服用本院自制排毒保肾丸
4周为1疗程
共治疗3个疗程
观察两组患者各疗程结束时残余肾功能相关指标、治疗前后透析相关指标及其他相关指标
并于3个疗程后评价疗效。 结果: 透析后4
8
12周两组RRF
24 h尿量均呈下降趋势
研究组RRF下降速率
24 h尿量下降速率明显低于对照组(P< 0.05);治疗后12周
两组血尿素氮(BUN)均较治疗前明显降低
研究组血肌酐(SCr)治疗后较治疗前明显降低(P< 0.05);研究组BUN
SCr降低幅度明显大于对照组(P< 0.05);研究组治疗后血红蛋白(Hb)
血清白蛋白(Alb)较治疗前显著升高(P< 0.05)
升高幅度明显大于对照组
组间比较差异具有显著性(P< 0.05);两组治疗后全段甲状旁腺素(iPTH)较治疗前显著降低(P< 0.05);组间降低幅度比较差异无显著性。研究组治疗总有效率为71.05%
明显高于对照组(P< 0.05)。 结论: 排毒保肾丸联合缬沙坦可延缓腹膜透析患者RRF减退和尿量下降
同时还有助于改善贫血
对腹膜透析患者残余肾功能具有保护作用。
Objective: To investigate the protective effect of Paidu Baoshen pills and valsartan on residual renal function (RRF) of patients with peritoneal dialysis. Method: Totally seventy-six cases treated with peritoneal dialysis in our hospital between January 2012 and March 2014 were included and divided into two groups by using the hidden random number table method. The 38 cases in the control group were given valsartan and basic western treatment beside the peritoneal dialysis
while the 38 patients in the study group took Paidu Baoshen pills developed by our hospital on beside the therapies of the control group. The treatment lasted for 12 weeks (four weeks in one course of treatment). Their residual renal function indexes after the treatment
dialysis related indexes before and after the treatment and other relevant indexes of the two groups were observed
the curative effect was evaluated after three courses of treatment. Result: At the 4th
8th and 12th week after the dialysis
both groups showed reduction in 24 h urine volume
and the study group showed significantly lower RRF and 24 h urine volume than the control group (P <0.05)
at the 12th week after the treatment
both groups showed obviously lower urea nitrogen (BUN) than before the treatment
while the study group showed notably lower serum creatinine (SCr) than before the treatment (P <0.05)
the study group showed significantly lower BUN and SCr than the control group (P <0.05)
the study group shower significantly higher Hb and Alb before the treatment (P <0.05)
with a higher rate than the control group and significant differences between groups (P <0.05)
both groups showed significant reduction in the entire section of parathyroid hormone (iPTH) compared with that before the treatment (P <0.05)
with no significant difference in the decrease rate between the groups (P <0.05). The study group showed a total effective rate of 71.05%
which was significantly higher than the control group (P <0.05). Conclusion: Paidu Baoshen pills combined with valsartan can delay the decreases in RRF and urine volume of patients with peritoneal dialysis and relieve anemia
with a protective effect on residual renal function of patients with peritoneal dialysis.
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