摘要
目的观察川芎嗪注射液对腹透患者腹透液CA125的影响。方法采用盐酸川芎嗪注射液加入腹透液中治疗7天,观察治疗前后患者超滤量、溶质转运参数、D/Pcr、腹透液CA125浓度,以及尿素清除指数(KT/V),肌酐清除率(Ccr)的变化。结果治疗后患者超滤量由治疗前(338±71)ml/d明显提高到(692±90)ml/d,腹透液CA125平均浓度由治疗前的(15.1±2.9)U/ml提高到(17.5±3.4)U/ml;而患者尿量、溶质清除率、D/Pcr等未见明显改变。结论川芎嗪注射液能提高腹透患者的超滤量,安全性良好。
Objective To observe the effect of ligustrazine injection on the CA125 in patients with abdominal dialysis.Methods Ligustrazine hydrochloride injection to join to drain fluid treatment in 7 days,patients before and after treatment was observed ultrafiltration volume,solute transport parameters,D/Pcr,abdominal fluid CA125 concentrations,and KT/V(urea clearance index),the change of Ccr(creatinine clearance).Results After treatment,the ultrafiltration rate of patients increased significantly from(338±71) ml/d to(692±90) ml/d,and the average concentration of CA125 increased from(15.1±2.9) U/ml to(17.5±3.4) U/ml.However,there was no significant change in urine volume,solute clearance rate,D/Pcr.Conclusion Ligustrazine injection can improve the ultrafiltration and safety of patients with ventral dialysis.
引文
[1]Hye Eun Yoon,Yoon Kyung Chang,Seok Joon Shin,et al.Benefits of a Continuous Ambulatory Peritoneal Dialysis(CAPD)Technique with One Icodextrin-Containing and Two Biocompatible Glucose-Containing Dialysates for Preservation of Residual Renal Function and Biocompatibility in Incident CAPD Patients[J].JKorean Med Sci,2014,29(9):1217-1225.
[2]Deirisa Lopes Barreto,Tiny Hoekstra,Nynke Halbesma,et al.The Association of Effluent Ca125 with Peritoneal Dialysis Technique Failure[J].Perit Dial Int,2015,35(7):683-690.
[3]Anouk T.N.van Diepen,Sadie van Esch,Dirk G.Struijk,et al.The First Peritonitis Episode Alters the Natural Course of Peritoneal Membrane Characteristics in Peritoneal Dialysis Patients[J].Perit Dial Int,2015,35(3):324-332.
[4]郭林,赵晓光,贺小霞.慢性肾功能不全腹膜透析患者透出液CA125检测的临床意义[J].新乡医学院学报,2014,31(12):1045-1047.
[5]冯婷,梁衍,金刚.腹膜透析患者透出液糖类抗原125浓度变化的观察[J].临床肾脏病杂志,2016,16(7):408-411.
[6]蔡汝超.黄芪注射液对腹膜透析患者透出液CA125影响的临床观察[J].内蒙古中医药,2014,33(34):29.
[7]张小鹿,张丹,王怡.川芎嗪注射液对腹膜透析大鼠腹膜功能及相关蛋白的影响[J].中国中西医结合肾病杂志,2014,15(9):762-766.
[8]沈翊,梁晓平.川芎嗪注射液改善腹膜超滤功能及腹膜纤维化的疗效观察[J].湖南中医杂志,2015,31(1):48-50.
[9]郭林,赵晓光,贺小霞.慢性肾功能不全腹膜透析患者透出液CA125检测的临床意义[J].新乡医学院学报,2014,31(12):1045-1047.
[10]滕兰波,常明,刘书馨,等.不同钙离子浓度透析液对腹膜组织损伤及腹腔炎症标志的影响[J].中国血液净化,2016,15(10):554-558.
[11]李娟,郭志勇,赖学莉,等.腹腔内应用低分子肝素可以提高腹膜透析患者的透析效能[J].中国中西医结合肾病杂志,2015,16(5):430-432.
[12]李卫巍,单炜薇,孙铸兴,等.HMG-Co A还原酶抑制剂对腹膜透析患者腹膜纤维化的影响[J].吉林医学,2016,37(10):2419-2421.