左卡尼汀联合促红细胞生成素治疗血液透析肾性贫血的疗效

    Effect of levocarnitine combined with erythropoietin in the treatment of hemodialysis renal anemia

    • 摘要:
      目的探讨血液透析肾性贫血病人采用左卡尼汀联合促红细胞生成素治疗的临床效果。
      方法选取98例血液透析肾性贫血病人,根据数字表法随机分为对照组和观察组,各49例。对照组给予促红细胞生成素治疗,观察组采用左卡尼汀联合促红细胞生成素治疗。对比2组治疗前后血清白蛋白、血红蛋白、血清转铁蛋白、红细胞比容以及铁代谢指标变化情况、用药后不良反应情况。
      结果治疗前,2组血清铁蛋白、转铁蛋白饱和度、红细胞比容、血红蛋白、血清白蛋白差异均无统计学意义(P>0.05);2组治疗后的血清铁蛋白、转铁蛋白饱和度、红细胞比容、血红蛋白、血清白蛋白均高于治疗前(P < 0.05),且观察组均高于对照组(P < 0.01);用药后2组出现不良反应主要表现为血压升高、发热和肝肾功能异常,观察组的不良反应总发生率低于对照组(P < 0.01)。
      结论左卡尼汀联合促红细胞生成素治疗血液透析肾性贫血能改善病人临床贫血症状,缩短疗程,同时促进生化实验室指标恢复,有效提高治愈率,降低并发症,提高病人生活质量。

       

      Abstract:
      ObjectiveTo investigate the clinical effects of levocarnitine combined with erythropoietin in the treatment of hemodialysis with renal anemia.
      MethodsNinety-eight renal anemia patients with hemodialysis were randomly divided into the control group and observation group according to the digital table method(49 cases in each group).The control group was treated with erythropoietin, and the observation group was treated with levocarnitine combined with erythropoietin.The serum levels of albumin, hemoglobin, serum transferrin, hematocrit and iron metabolism index before and after treatment, and adverse reactions after drug administration were compared between two groups.
      ResultsBefore treatment, the differences of the serum levels of serum ferritin, transferrin saturation, hematocrit, hemoglobin and serum albumin were not statistically significant between two groups(P>0.05).The serum levels of ferritin, transferrin saturation, hematocrit, hemoglobin and serum albumin in two groups after treatment were higher than before treatment(P < 0.05), and the serum levels in observation group were higher than those in control group(P < 0.01).The elevation of blood pressure, fever and abnormal liver and kidney functions were the main adverse reactions in two groups after treatment, and the total incidence rate of adverse reactions in observation group was lower than that in control group(P < 0.01).
      ConclusionsThe levocarnitine combined with erythropoietin in treating hemodialysis renal anemia can improve the symptoms of clinical anemia, shorten the course of treatment, promote the recovery of biochemical laboratory indicators, effectively improve the cure rate, reduce complications and improve the quality of life of patients.

       

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