疏血通注射液联合还原型谷胱甘肽治疗瘀热水结型急性肾损伤疗效观察Clinical Observation of Shuxuetong Injection and Glutathione Injection on Acute Kidney Injury with Mixed Stasis-heat and Water Syndrome
李春胜,余妙,余海峰,张小青
摘要(Abstract):
目的观察疏血通注射液联合还原型谷胱甘肽(泰特)治疗瘀热水结型急性肾损伤(AKI)的临床疗效。方法将28例AKI患者随机分为两组,联合组14例予疏血通注射液及泰特注射液静滴,对照组14例予疏血通注射液静滴;疗程4周。结果联合组治愈率高于对照组,其少尿期及血肌酐恢复时间较之对照组显著缩短,内生肌酐清除率显著升高;联合组肾小管指标尿β2微球蛋白明显下降,而尿渗透压明显上升。结论疏血通注射液联合泰特对瘀热水结型AKI疗效肯定。
关键词(KeyWords): 急性肾损伤;瘀热水结证;疏血通注射液;还原型谷胱甘肽
基金项目(Foundation):
作者(Author): 李春胜,余妙,余海峰,张小青
参考文献(References):
- [1]急性肾损伤专家共识小组.急性肾损伤诊断与分类专家共识[J].中华肾脏病杂志,2006,22(1):661-663.
- [2]Warnoch D G.Towards definition and classification of acutekidney injury[J].J Am Soc Nephrol,2005,16(3):3149-3150.
- [3]周珉.从流行性出血热急性肾衰竭探瘀热水结证[J].中国中医急症,1994,3(2):69-71.
- [4]刘畅,饶向荣,等.急性肾损伤中医证候要素及其与肾损伤分子-1的相关性研究[J].中国中西医结合肾病杂志,2010,11(2):138-140.
- [5]Nitescu N,Ricksten S E,Marcussen N,et al.N-acetylcys-teine,attenuates kidney injury in rats subjected to renal is-chaemia-reperfusion[J].Nephrol Dial Transplant,2006,21(5):1240-1247.
- [6]Polat A,Parlakpinar H,Tasdemir S.Protective role ofaminogumidine on gentamicin-induced acute renal failure inrats[J].Act a Histochem,2006,108(5):365-371.
- [7]李芳,赵红梅,陶红,等.疏血通治疗肾综合征出血热急性肾衰疗效观察[J].中国急救医学,2002,22(10):582-582.