固本排毒方预防造影剂肾病疗效观察

发布时间：2018-06-02 01:53

本文选题：造影剂肾病 + 固本排毒方　；参考：《山西中医》2017年03期

【摘要】：目的:观察固本排毒方对冠脉造影/PCI患者急性肾损伤(AKI)和造影剂肾病(RCIN)发病率的影响。方法:符合入选标准的病例150例,按照随机数字法分为观察组、水化组和对照组。各组均予常规治疗。观察组采用固本排毒方;水化组给予水化治疗;对照组为空白对照。术前及术后连续3天查肾功能,取术后3天Scr最高值。比较各组肾功能变化情况及RCIN发病率。结果:(1)Scr变化情况比较:观察组优于水化组(P0.05)和对照组(P0.01);水化组可能优于对照组,但两者间的差异无显著性(P0.05)。(2)RCIN发病率:观察组RCIN发病率明显低于对照组,有统计学意义(P0.05)。水化组RCIN发病率可能低于对照组,但两者无显著性差异(P0.05)。结论:固本排毒方对防治冠脉造影/PCI患者ARF和RCIN的疗效确切。
[Abstract]:Objective: To observe the effect of Gu Ben Detox on the incidence of acute renal injury (AKI) and contrast nephropathy (RCIN) in patients with coronary angiography /PCI. Methods: 150 cases were divided into the observation group, the hydration group and the control group according to the random number method. All groups were treated with conventional treatment. The observation group was treated with the prescription of detox and the hydrated group was treated with hydration treatment. The control group was blank control. The renal function was examined for 3 days before and 3 days after operation, and the highest value of 3 days after the operation. The changes of renal function and the incidence of RCIN were compared. Results: (1) the changes of Scr were compared: the observation group was superior to the hydrated group (P0.05) and the control group (P0.01); the hydration group was better than the control group, but there was no significant difference between the two groups (P0.05). (2) R The incidence of CIN: the incidence of RCIN in the observation group was significantly lower than that of the control group (P0.05). The incidence of RCIN in the hydrated group was lower than that of the control group, but there was no significant difference between the two groups (P0.05). Conclusion: the curative effect of the Detox prescription on the prevention and treatment of ARF and RCIN of the patients with /PCI in coronary angiography was tangent.
【作者单位】：广东省清远市中医院;
【基金】：广东省清远市2015年社发领域自筹经费科技计划项目(编号:1500)
【分类号】：R277.5

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