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解放军预防医学杂志  2016, Vol. 34 Issue (2): 172-174    
  研究论著 本期目录 | 过刊浏览 | 高级检索 |
尿毒清联合复方α-酮酸片对维持性血液透析患者钙磷代谢的影响
刘乃全,孙广萍
中国医科大学附属盛京医院肾脏内科, 沈阳 110004
Effect of Niaoduqing Combined with Compound Alpha-keto Acid Tablets on Calcium-phosphorus Metabolism in Patients with Maintenance Hemodialysis
LIU Naiquan,SUN Guangping
Department of Nephrology, Shengjing Hospital, China Medical University, Shenyang 110004, China
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摘要 目的 本研究比较尿毒清、α-酮酸片(开同)及2种药物联合使用对维持性血液透析患者血清钙、磷、甲状旁腺素(Parathyroid Hormone, PTH)的影响。方法 选取2013年9月至2014年12月某医院肾脏内科188例维持性血液透析患者;随机分为尿毒清组、开同组、尿毒清+开同联合组及对照组,每组47例。前3组在对照组常规血液透析治疗的基础上给予相应药物治疗,疗程6个月,检测治疗前后的钙磷代谢及营养指标。结果 治疗后,对照组在钙磷代谢及营养状态方面无明显改变(P>0.05);尿毒清组和开同组对降低血磷和钙磷乘积、下调PTH均有一定疗效(P<0.05);4组患者治疗前后比较,尿毒清+开同联合组在降低血磷、下调PTH方面疗效最佳(P<0.05);尿毒清组和开同组对肌酐、尿素氮、白蛋白的调节均没有明显的统计学意义(P>0.05);4组患者治疗前后比较,尿毒清+开同联合组在降低尿素氮、提高白蛋白方面疗效占优(P<0.05)。结论 尿毒清和开同联合应用对终末期肾病透析患者的钙磷代谢有着良好的调节作用,并且能降低尿素氮,改善营养状态,联合用药效果好于单一应用尿毒清或α-酮酸片。
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关键词 尿毒清开同终末期肾脏病钙磷代谢营养状态    
Abstract:Objective To observe the effect of Niaoduqing (NDQ) combined with compound α-keto acid (CAA) tablets on calcium (Ca)-phosphorus (P) metabolism in patients with maintenance hemodialysis.Methods A total of 188 patients with end-stage renal disease (ESRD) during September 2013 and December 2014 were randomly divided into control group (routine therapy including maintenance hemodialysis and symptomatic treatment,n= 47),and three treatment group (drug intervention based routine therapy for 6 months, each n=47):NDQ group(5g NDQ tid),CAA group(5 tablets CAA tid),NDQ+CAA group(5g NDQ tid plus 5 tablets CAA tid).The indexes of Ca-P metabolism and serum creatinine(Cr),blood urea nitrogen(BUN),and albumn(Alb) were detected before and after treatment.Results The indexes of Ca-P metabolism, Cr,BUN, and Alb had no significant change after treatment in control group (P>0.05).NDQ and CAA alone showed effects in decreasing the level of serum P,Ca-P product and PTH after treatment.Serum P and PTH decreased significantly after treatment compared to before treatment in NDQ+CAA group,and which was most effective among 4 groups.Serum Cr,BUN, Alb had no significant change after treatment in NDQ group and CAA group.The effects of decreasing BUN and increasing Alb were better in NDQ+CAA group than other three groups(P<0.05).Conclusion NDQ combined with CAA can play a role in regulating Ca-P metabolism of ESRD patients,decrease BUN,and improve nutritional status.The combination of NDQ with CAA has better effect than use alone.
Key wordsNiaoduqing    compound a-keto acid tablets    ESRD    calcium-phosphorus metabolism    nutritional status
     出版日期: 2016-09-01
引用本文:   
刘乃全,孙广萍. 尿毒清联合复方α-酮酸片对维持性血液透析患者钙磷代谢的影响[J]. 解放军预防医学杂志, 2016, 34(2): 172-174.
LIU Naiquan,SUN Guangping. Effect of Niaoduqing Combined with Compound Alpha-keto Acid Tablets on Calcium-phosphorus Metabolism in Patients with Maintenance Hemodialysis. Journal of Preventive Medicine of Chinese People's Liberation Army, 2016, 34(2): 172-174.
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