左卡尼汀联合血液透析治疗尿毒症性周围神经病变38例疗效分析

    Clinical effect of L-carnitine combined with hemodialysis in the treatment of uremic peripheral neuropathy in 38 cases

    • 摘要: 目的:观察左卡尼汀与血液透析(HD)联合治疗尿毒症性周围神经病变的临床疗效.方法:76例尿毒症性周围神经病变患者,根据随机数字表法分为对照组和观察组,各38例.对照组采用普通HD治疗,观察组在对照组相同HD方案基础上联用左卡尼汀治疗,比较2组患者的治疗效果与神经传导速度变化情况.结果:观察组治疗后感觉神经传导速度较治疗前显著提高(P<0.01),且观察组治疗后水平显著高于对照组(P<0.01).观察组总有效率为86.8%,显著高于对照组的57.9%(P<0.01).结论:左卡尼汀联合HD可显著改善尿毒症患者周围神经病变症状,方法简单,疗效可靠.

       

      Abstract: Objective:To observe the clinical efficacy of L-carnitine combined with hemodialysis in the treatment of uremic peripheral neuropathy.Methods:Seventy-six patients with uremic peripheral neuropathy were randomly divided into the control group and observation group(38 cases each group).The control group and observation group were treated with ordinary hemodialysis and L-carnitine combined with hemodialysis,respectively.The curative efficacy and nerve conduction velocity between two groups were compared.Results:Compared with before treatment,the sensory nerve conduction velocity in observation group significantly increased(P<0.01),and the level of which was significantly higher than that in control group after treatment(P<0.01).The total effective rate in observation group(86.8%) was significantly higher than that in control group(57.9%)(P<0.01).Conclusions:The treatment of uremic patients with peripheral neuropathy with L-carnitine combined with hemodialysis can significantly improve the symptom of patients,which is effective and simple.

       

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