摘要
目的:探讨静脉水化疗法预防经皮冠状动脉介入术(PCI)后造影剂肾病(CIN)的预防作用。方法:选择PCI患者180例,采用非随机分组观察,将观察对象分为强化饮水组(对照组)86例和静脉水化组(静脉组)94例,比较2组术前、术后血清肌酐(SCr)、尿素氮(BUN)、血β2微球蛋白(β2-mG)、尿β2-mG等结果。结果:静脉组术后SCr、BUN、β2-mG及尿β2-mG均明显低于对照组(P<0.01);静脉组术后发生CIN 3例,对照组术后CIN 10例,2组差异有统计学意义(P<0.05)。结论:与术后48 h不限制饮水的水化方法比较,通过静脉注射等渗氯化钠溶液进行水化可以预防肾功能损伤,并有效减少术后急性肾衰竭的发生。
Objective:To investigate the effect of intravenous hydration therapy in prevention of contrast-induced nephropathy(CIN) after percutaneous coronary intervention(PCI).Methods:One hundred and eighty cases of patients were divided into the control group(drinking water) and experimental group(intravenous hydration therapy).The levels of serum creatinine(SCr),urea nitrogen(BUN),serum β2-microglobulin(β2-mG),and urinary β2-mG were compared between the two groups after PCI.Results:The levels of SCr,BUN,β2-mG,and urinary β2-mG were significantly lower in experimental group(n=94) than that in control group(n=86)(P0.01);CIN occurred in 3 cases of experimental group,but 10 cases of control group(P0.05).Conclusions:Intravenous hydration therapy can prevent the injury of kidney function and reduce the incidence of acute renal failure after PCI.
出处
《蚌埠医学院学报》
CAS
2011年第7期719-721,共3页
Journal of Bengbu Medical College
关键词
肾疾病
静脉水化疗法
造影剂
经皮冠状动脉介入术
intravenous hydration therapy
contrast agent
percutaneous coronary intervention