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机构地区:[1]济宁医学院附属日照市人民医院肾内科,276826 [2]日照市东港区人民医院
出 处:《中国临床实用医学》2010年第12期32-33,共2页China Clinical Practical Medicine
摘 要:目的观察金水宝胶囊对慢性肾脏病(CKD)患者血清胱抑素C(CystatinC)与超敏C反应蛋白(hs-CRP)的影响。方法34例明确诊断CKD患者,随机分为对照组(17例)和治疗组(17例),同时选择17名健康成人作为正常对照组,在基础治疗上加用金水宝胶囊3次/d,6粒/次口服,治疗前、后8周分别检测CystatinC、hs-CRP、Scr、BUN。结果CKD患者CystatinC、hs.CRP、Scr较正常对照组明显增高(P〈0.05),常规治疗8周后其CystatinC、hs-CRP、Scr有所降低,但差异无统计学意义(P〉0.05),而加用金水宝胶囊治疗后其CystatinC、hs-CRP、Scr明显降低(P〈0.05);CystatinC与hs—CRP呈正相关,CystatinC与GFR呈负相关。结论金水宝胶囊可改善早期CKD患者的肾功能和炎症状态,有利于延缓CKD的进展。Objective To observe the influence of jinshuibao capsule on serum cystatin C and high sensitive C-reactive (hs-CRP)protein in chronic kidney disease patients (CKD). Methods Thirty-four cases CKD patients were randomly divided into two groups: control group (17 cases)and treatment group (treatment with jinshuibao capsules, 17 cases). Meanwhile, 17 healthy adults were taken as the normal control. The blood concentrations of cystatin C, hs-CRP, Scr and BUN were determined. Results The level of cystatin C, hs-CRP, Scr in all CKD patients were significantly higher than those in the normal control( P 〈 0. 05 ), the level of cysta- tin C, hs-CRP, Scr decreased after 8 weeks of conventional treatment (P 〉 0. 05 ), while those significantly decreased addition of jinshuibao capsule treatment( P 〈 0. 05 ) ; Cystatin C and hs-CRP were positively correlated, but Cystatin C was negatively correlated with GFR. Conclusion The renal function and inflammation can be alleviated by jinshuibao capsule in early CKD patients, which could be slowed the progression of CKD.
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