金水宝胶囊辅助高通量透析对终末期肾病患者肾功能和微炎症状态的影响
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Effect of Jinshuibao Capsules Assisting High Throughput Dialysis for Renal Function and Micro-Inflammatory Status in Patients with End-Stage Renal Disease
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    摘要:

    目的:观察金水宝胶囊辅助高通量透析对终末期肾病(ESRD) 患者肾功能和微炎症状态的影响。 方法:选取ESRD 患者126 例,采用简单随机法分为观察组和对照组各63 例。对照组予高通量透析治疗,观 察组在对照组基础上联合金水宝胶囊治疗,均持续治疗2 个月。比较2 组临床疗效,以及治疗前后肾功能[尿 素氮(BUN)、血肌酐(SCr)、24 h 尿蛋白定量(24 h Upro) 和β2-微球蛋白(β2-MG) ]、微炎症指标[白细胞 介素(IL) -6、IL-8、肿瘤坏死因子-α(TNF-α) ]和氧化应激反应指标[超氧化物歧化酶(SOD)、谷胱甘肽过 氧化物酶(GSH-PX)、丙二醛(MDA) ]水平变化,统计2 组不良事件发生情况。结果:观察组总有效率为 96.83%,对照组为87.30%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组SCr、BUN、24 h Upro、 β2-MG 水平均较治疗前降低(P<0.05),且观察组4 项肾功能指标均低于对照组(P<0.05)。治疗后,2 组IL-6、 TNF-α、IL-8 水平均较治疗前降低(P<0.05),且观察组3 项微炎症因子指标均低于对照组(P<0.05)。治疗 后,2 组SOD、GSH-PX 水平均较治疗前升高(P<0.05),MDA 水平较治疗前降低(P<0.05);且观察组 SOD、GSH-PX 水平高于对照组(P<0.05),MDA 水平低于对照组(P<0.05)。结论:金水宝胶囊辅助高通量 透析治疗ESRD 可提高临床疗效,减轻炎症反应和氧化应激反应,有效保护肾功能,且用药安全性较高。

    Abstract:

    Abstract: Objective: To observe the effect of Jinshuibao Capsules assisting high throughput dialysis on renal function and micro-inflammatory status in patients with end-stage renal disease (ESRD). Methods: A total of 126 cases of ESRD patients were selected and randomly divided into the observation group and the control group,with 63 cases in each group. The control group was treated with high throughput dialysis, and the observation group was additionally treated with Jinshuibao Capsules based on the treatment of the control group. The treatment in the two groups were lasted for 2 months. Changes in renal function [urea nitrogen (BUN), serum creatinine (SCr), 24-hour urine protein quantification (24-hour Upro), and β2- microglobulin (β2 - MG)], micro-inflammatory markers [interleukin (IL) - 6, IL-8, and tumor necrosis factor - α (TNF - α), and oxidative stress response indicators [superoxide dismutase (SOD), glutathione peroxidase (GSH-PX),and malondialdehyde (MDA)] before and after treatment,as well as clinical effects, were compared between the two groups. The incidence of adverse reactions in the two groups was counted. Results:The total effective rate was 96.83% in the observation group and 87.30% in the control group, the difference being significant (P<0.05). After treatment, the levels of SCr, BUN, 24 h Upro, and β2-MG in the two groups were decreased when compared with those before treatment (P<0.05),and the four renal function indexes in the observation group were lower than those in the control group (P< 0.05). After treatment, the levels of IL-6, TNF - α, and IL-8 in the two groups were decreased when compared with those before treatment (P<0.05), and the three micro-inflammatory factors in the observation group were lower than those in the control group (P<0.05). After treatment,the levels of SOD and GSH - PX in the two groups were increased when compared with those before treatment (P<0.05), and the levels of MDA were decreased when compared with those before treatment (P<0.05);the levels of SOD and GSH-PX in the observation group were higher than those in the control group (P<0.05),and MDA level in the observation group was lower than that in the control group (P<0.05). Conclusion: Jinshuibao Capsules assisting high throughput dialysis in the treatment of ESRD can enhance clinical effects, alleviate inflammatory and oxidative stress reactions, effectively protect patients' renal function, and have high medication safety.

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唐凌斌,邵燕志.金水宝胶囊辅助高通量透析对终末期肾病患者肾功能和微炎症状态的影响[J].新中医,2024,56(6):95-99

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  • 在线发布日期: 2024-03-26
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