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生长抑素治疗Ⅰ型肝肾综合征的疗效观察 被引量:4

Effect observation of somatostatin in Ⅰ-type hepatorenal syndrome
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摘要 目的:探讨生长抑素对肝肾综合征的治疗作用。方法:将24例Ⅰ型肝肾综合征分为两组,治疗组给予持续静滴生长抑素250μg.h-1直至肝肾综合征逆转(SCr<132.5μmol.L-1)或最长疗程7天。治疗期间治疗组和对照组均同时给予白蛋白和速尿等对症支持治疗。结果:治疗后SCr、BUN、尿量两组比较差异有统计学意义(P<0.01)。生长抑素治疗组治疗有效率为64.29%(9/14),对照组治疗有效率为20%(2/10),两组治疗有效率比较差异有统计学意义(P<0.05)。结论:使用生长抑素的综合治疗可提高肝肾综合征的治疗有效率。 Objective :To study the therapeutic effect of somatostatin on hepatorenal syndrome. Methods: 24 patients with Ⅰ -type hepatorenal syndrome were devided into two groups. The treatment group was intravenously treated with somatostatin 250 μg·h^-1 , until SCr decreased below 132.5 μmol·L^-1 , or a maximum of 15 days. Both treatment group and control group received supportive treatment such as serum albumin and fursemide. Resuit: There was significant improvement for both groups in SCr, BUN and urine volume after treatment (P 〈 0. 01 ). In the group of somatostatin, the efficacy rate was 64.29% (9/14), compared with that of control group 20% (2/10). (P 〈0. 05 ). Conclusions: The combined somatostatin therapy can improve the efficacy rate of hepatorenal syndrome.
作者 秦向荣
出处 《药学与临床研究》 2007年第6期470-472,共3页 Pharmaceutical and Clinical Research
关键词 肝硬化 肝肾综合征 生长抑素 Live cirrhosis Hepatorenal syndrome Somatostatin
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