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地尔硫注射剂治疗老年慢性肾功能不全临床疗效观察
引用本文:费伟民,王玉梅,程鎏,卞巧荣,周惠浩,孙才坚.地尔硫注射剂治疗老年慢性肾功能不全临床疗效观察[J].中国新药与临床杂志,2001(Z1).
作者姓名:费伟民  王玉梅  程鎏  卞巧荣  周惠浩  孙才坚
作者单位:卢湾老年护理医院 上海200025 (费伟民,王玉梅,程鎏,卞巧荣,周惠浩),卢湾老年护理医院 上海200025(孙才坚)
摘    要:目的 :观察地尔硫注射剂治疗老年慢性肾功能不全的临床疗效。方法 :对 32例老年慢性肾功能不全病人 ,在常规治疗基础上 ,以地尔硫注射液 30mg稀释于 5 %葡萄糖注射液或氯化钠注射液2 5 0mL中静脉滴注 ,滴速为 5~ 7μg·kg- 1·min- 1,qd× 10d。结果 :治疗 10d后 ,血清肌酐、尿素氮水平和收缩压、舒张压均有明显下降 ,差异均有非常显著意义 (均P <0 .0 1) ,而治疗前后心率无明显变化(P >0 .0 5 )。未见明显不良反应。结论 :伴有高血压的老年慢性肾功能不全病人静脉滴注地尔硫 ,在有效地控制血压同时 ,对肾功能有保护和改善作用

关 键 词:地尔硫  老年人  慢性肾功能衰竭

Clinical effect of diltiazem injection in treatment of senile chronic renal insufficiency
FEI Wei Min,WANG Yu Mei,CHENG Liu,BIAN Qiao Rong,ZHOU Hui Hao,SUN Cai Jian.Clinical effect of diltiazem injection in treatment of senile chronic renal insufficiency[J].Chinese Journal of New Drugs and Clinical Remedies,2001(Z1).
Authors:FEI Wei Min  WANG Yu Mei  CHENG Liu  BIAN Qiao Rong  ZHOU Hui Hao  SUN Cai Jian
Abstract:AIM:To observe clinical effect of diltiazem injection in the treatment of senile chronic renal insufficiency (CRI). METHODS: On the basis of the routine treatment, thirty two patients with CRI(M 15, F 17; age 78 a± s 6 a) were given diltiazem 30 mg in 5% glucose injection 250 mL or 0.9% sodium chloride injection 250 mL iv, gtt, qd×10 d (5-7 μg·kg -1 ·min -1 ). Before and after the therapy, heart rate, blood pressure, electrocardiogram (EKG), blood urea nitrogen (BUN), creatinine (Cr) were measured. RESULTS: After 10 d treatment, the systolic blood pressure, diastolic blood pressure and Cr, BUN level declined considerably ( P < 0.01), and there was no obvious change in the heart rate ( P >0.05). CONCLUSION: The renal function can be improved and protected when the senile patients with CRI were given diltiazen injection.
Keywords:diltiazem  aged  chronic kidney failure
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