肾康注射液预防老年冠心病介入术后对比剂肾病的疗效观察
Observation on the Effect of Shenkang Injection on Preventing Contrast-induced Nephropathy after Senile Coronary Heart Disease Interventional Surgery
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摘要: 目的 观察肾康注射液对老年冠心病患者介入术后急性肾损伤和对比剂肾病(CIN)发生率的影响。方法 行介入检查治疗的62例老年冠心病患者随机分为观察组(肾康组,31例)和对照组(水化组,31例),2组均给予常规治疗,观察组给予肾康注射液静脉滴注,对照组给予水化治疗。所有患者分别于术前和术后抽取血标本测定血肌酐,检测尿中性粒细胞明胶酶相关脂质运载蛋白(NGAL)。比较2组患者 CIN 的发生率。结果 术后发生CIN,2组比较,P<0.05;术后2组SCr、eGFR各时间点的组间比较,P>0.05;2组术后 12 h 、24h尿液 NGAL 较术前升高,升高幅度肾康组低于水化组,2组间比较,P<0.05;2组术后血SCr增加值肾康组在各时间点均小于水化组,2组间比较,P<0.01。结论 肾康注射液对防治老年冠心病患者介入术后急性肾损伤和对比剂肾病有效。Abstract: OBJECTIVE To observe the on the effect of Shenkang Injection on the incidence of acute kidney injury and contrast-induced nephropathy after interventional surgery for senile patient with coronary heart disease. METHODS 62 cases of senile coronary heart disease who had interventional examination and treatment were randomly devided into two groups, namely observation group ( Shenkang group, 31 cases ) and control group (Hydration group, 31 cases). The two groups both received rutine treatment. The observation group received intravenous infusion of Shenkang Injection. The control group received hydration treatment. Blood samples of all the patients were taken to test their serum creatinine, and neutrophil gelatinase associated lipocalin (NGAL).The incidence of contrast-induced nephropathy of these two groups were compared. RESULTS 1 case in Shenkang group(3.2%) and 4 cases in Hydration group (12.9%) had CIN after surgery and there was a statistical significance between the two groups (P<0.05). There was no statistical significance between the comparisons of the two groups’ SCr and eGFR point after surgery(P>0.05). 12 hours and 24 hours after the surgery, the neutrophil gelatinase associated lipocalin (NGAL) of both groups increased while the increase in Hydration group was greater compared with Shenkang group with a statistical significance (P<0.05). Blood SCr value of Shenkang group at any test point after surgery was lower than that of Hydration group with a remarkably statistical significance ( P<0.01). CONCLUSION Shenkang Injection may have a good effect on preventing the incidence of acute kidney injury and contrast-induced nephropathy after interventional surgery for senile patient with coronary heart disease.