现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2014年
24期
3695-3696,3699
,共3页
注射剂%肾,人工%尿毒症%皮肤%瘙痒症%维生素B12%甲钴胺注射液
註射劑%腎,人工%尿毒癥%皮膚%瘙癢癥%維生素B12%甲鈷胺註射液
주사제%신,인공%뇨독증%피부%소양증%유생소B12%갑고알주사액
Injectio%Kidney,artificial%Uremia%Skin%Pruritus%Vitamin B12%Mecobalamin injection
目的:观察甲钴胺注射液联合组合型人工肾对尿毒症皮肤瘙痒的疗效。方法2009年1月至2012年1月选择该院行维持性血液透析并出现严重皮肤瘙痒的尿毒症患者38例,随机分为对照组和治疗组,各19例。对照组予常规血液透析治疗,口服抗组胺药、镇静及外用止痒药等一般治疗。治疗组在对照组基础上加用血液灌流(即组合型人工肾)及甲钴胺治疗,观察两组患者治疗前及治疗8周后血钙、磷、全段甲状旁腺激素(iPTH)、β2_微球蛋白(β2_MG)及皮肤瘙痒评分变化情况。结果治疗组治疗后与治疗前及对照组治疗后比较,血磷、iPTH、β2_MG、皮肤瘙痒评分均下降,差异均有统计学意义(P<0.05)。结论甲钴胺注射液联合组合型人工肾可减轻尿毒症皮肤瘙痒症状,降低血磷、iPTH和β2_MG。
目的:觀察甲鈷胺註射液聯閤組閤型人工腎對尿毒癥皮膚瘙癢的療效。方法2009年1月至2012年1月選擇該院行維持性血液透析併齣現嚴重皮膚瘙癢的尿毒癥患者38例,隨機分為對照組和治療組,各19例。對照組予常規血液透析治療,口服抗組胺藥、鎮靜及外用止癢藥等一般治療。治療組在對照組基礎上加用血液灌流(即組閤型人工腎)及甲鈷胺治療,觀察兩組患者治療前及治療8週後血鈣、燐、全段甲狀徬腺激素(iPTH)、β2_微毬蛋白(β2_MG)及皮膚瘙癢評分變化情況。結果治療組治療後與治療前及對照組治療後比較,血燐、iPTH、β2_MG、皮膚瘙癢評分均下降,差異均有統計學意義(P<0.05)。結論甲鈷胺註射液聯閤組閤型人工腎可減輕尿毒癥皮膚瘙癢癥狀,降低血燐、iPTH和β2_MG。
목적:관찰갑고알주사액연합조합형인공신대뇨독증피부소양적료효。방법2009년1월지2012년1월선택해원행유지성혈액투석병출현엄중피부소양적뇨독증환자38례,수궤분위대조조화치료조,각19례。대조조여상규혈액투석치료,구복항조알약、진정급외용지양약등일반치료。치료조재대조조기출상가용혈액관류(즉조합형인공신)급갑고알치료,관찰량조환자치료전급치료8주후혈개、린、전단갑상방선격소(iPTH)、β2_미구단백(β2_MG)급피부소양평분변화정황。결과치료조치료후여치료전급대조조치료후비교,혈린、iPTH、β2_MG、피부소양평분균하강,차이균유통계학의의(P<0.05)。결론갑고알주사액연합조합형인공신가감경뇨독증피부소양증상,강저혈린、iPTH화β2_MG。
Objective To observe the effect of mecobalamin injection combined with assembled artificial kidney in uremic pruritus. Methods A total of 38 patients with uremia keeping hemodialysis from January 2009 to January 2012 were randomly divid_ed into the treatment group and the control group,19 cases in each group. The control group was received routine hemodialysis treat_ment,as well as oral antihistamines,sedation antipruritic drugs topical. The treatment group was treated with hemoperfusion (assem_bled artificial kidney) and mecobalamin. The two groups were observed before and 8 weeks after treatment on serum calcium ,phos phorus and intact parathyroid hormone iPTH;β2_microglobulin(β2_MG) and pruritus score changes. Results Compared with the treatment group before the treatment the control group after treatment,serum phosphorus,iPTH,β2_MG,pruritus score decreased,the difference was statistically significant(P<0.05). Conclusion Mecobalamin injection joint combined type artificial kidney may relieve uremic pruritus symptom,reduce serum phosphorus,iPTH andβ2_MG.