中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2008年
9期
1-2
,共2页
黄辉%王彤%陈洁%肖龙%黄湖辉%王景峰%徐安平%吕军%王华敏
黃輝%王彤%陳潔%肖龍%黃湖輝%王景峰%徐安平%呂軍%王華敏
황휘%왕동%진길%초룡%황호휘%왕경봉%서안평%려군%왕화민
构橼酸氢钾钠%肾脏%结晶
構櫞痠氫鉀鈉%腎髒%結晶
구연산경갑납%신장%결정
Potassium%sodium hydrogen%citrate%Kidney%Crystal
目的 探讨枸橼酸氰钾钠溶解肾集合管结晶的疗效.方法 筛选22例肾集合管结晶患者,给予枸橼酸氢钾钠10 g/d,比较治疗前后症状和实验室检查的变化.结果 治疗后,患者腰痛和尿路刺激症状明显减少(86.4%vs 13.6%,68.2%vs 4.5%,P＜0.05),同时尿红细胞和白细胞大幅减少,肾脏多普勒显示集合管结晶有明显改善(95.5% vs 9.1%,68.2%vs 13.6%,100% vs 22.7%,P＜0.05).结论 枸橼酸氢钾钠能有效溶解肾集合管结晶,减少肾结石的发生.
目的 探討枸櫞痠氰鉀鈉溶解腎集閤管結晶的療效.方法 篩選22例腎集閤管結晶患者,給予枸櫞痠氫鉀鈉10 g/d,比較治療前後癥狀和實驗室檢查的變化.結果 治療後,患者腰痛和尿路刺激癥狀明顯減少(86.4%vs 13.6%,68.2%vs 4.5%,P＜0.05),同時尿紅細胞和白細胞大幅減少,腎髒多普勒顯示集閤管結晶有明顯改善(95.5% vs 9.1%,68.2%vs 13.6%,100% vs 22.7%,P＜0.05).結論 枸櫞痠氫鉀鈉能有效溶解腎集閤管結晶,減少腎結石的髮生.
목적 탐토구연산청갑납용해신집합관결정적료효.방법 사선22례신집합관결정환자,급여구연산경갑납10 g/d,비교치료전후증상화실험실검사적변화.결과 치료후,환자요통화뇨로자격증상명현감소(86.4%vs 13.6%,68.2%vs 4.5%,P＜0.05),동시뇨홍세포화백세포대폭감소,신장다보륵현시집합관결정유명현개선(95.5% vs 9.1%,68.2%vs 13.6%,100% vs 22.7%,P＜0.05).결론 구연산경갑납능유효용해신집합관결정,감소신결석적발생.
Objective To study the effect of potassium sodium hydrogen citrate on collecting duet crystal.Methods 22 patients with collecting duct crystal were applied potassium sodium hydrogen citrate (10 g/d),clinical symptom and lab examination were compared after therapy.Results Lumbago and the incidence of urinary symptom were lower(86.4% vs 13.6% ,68.2% vs 4.5% ,P ＜0.05) ,with the decrease of RBC and WBC in urine ,and collecting duct crystal in doppler scan (95.5% vs9.1%,68.2% vsl 3.6%,100% vs22.7%,P ＜0.05).ConclusionPotassium sodium hydrogen citrate is an effective therapy for collecting duct crystal,and it prevents the formation of renal stone.
