布美他尼片联合氯沙坦钾治疗慢性肾小球肾炎的疗效临床研究
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许昌市人民医院

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    摘要:

    目的:观察布美他尼片联合氯沙坦钾治疗慢性肾小球肾炎(CGN)的效果。方法:选择2022年1月-2024年8月期间本院收治的92例CGN患者为研究对象。采用随机数字表法将患者分为对照组和观察组,每组各46例。对照组使用氯沙坦钾治疗;观察组使用氯沙坦钾联合布美他尼片治疗。分析对比两组的肾功能[尿素氮(BUN)、血肌酐(SCr)]、炎症因子(白细胞介素-6、超敏C反应蛋白、肿瘤坏死因子-α)水平、疗效以及不良反应发生率。结果:治疗后,两组的BUN、SCr水平均较治疗前显著降低,且观察组治疗后的BUN、SCr水平均显著低于对照组(P<0.05)。治疗后,两组的白细胞介素-6、超敏C反应蛋白、肿瘤坏死因子-α水平均较治疗前显著降低,且观察组治疗后的白细胞介素-6、超敏C反应蛋白、肿瘤坏死因子-α水平均显著低于对照组(P<0.05)。观察组的治疗总有效率显著高于对照组(P<0.05)。两组的不良反应发生率无显著差异(P>0.05)。结论:布美他尼片联合氯沙坦钾治疗CGN,能提高疗,改善肾功能、抑制炎症反应,且用药安全性较高。

    Abstract:

    Objective: To observe the effect of bumetanib tablets combined with losartan potassium in the treatment of chronic glomerulonephritis (CGN). Method: 92 patients with CGN admitted to our hospital from January 2022 to August 2024 were selected as the research subjects. The patients were divided into the control group and the observation group by the random number table method, with 46 cases in each group. The control group was treated with losartan potassium; The observation group was treated with losartan potassium combined with bumetanib tablets. The levels of renal function [blood urea nitrogen (BUN), serum creatinine (SCr)], inflammatory factors (interleukin-6, hypersensitive C-reactive protein, tumor necrosis factor -α), therapeutic effects and the incidence of adverse reactions were analyzed and compared between the two groups. Result: After treatment, the levels of BUN and SCr in both groups were significantly lower than those before treatment, and the levels of BUN and SCr in the observation group after treatment were significantly lower than those in the control group (P < 0.05). After treatment, the levels of interleukin-6, hypersensitive C-reactive protein and tumor necrosis factor -α in both groups were significantly lower than those before treatment, and the levels of interleukin-6, hypersensitive C-reactive protein and tumor necrosis factor -α in the observation group after treatment were significantly lower than those in the control group (P < 0.05). The total effective rate of treatment in the observation group was significantly higher than that in the control group (P < 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05). Conclusion: Bumetanib tablets combined with losartan potassium in the treatment of CGN can improve the therapeutic effect, enhance renal function, inhibit inflammatory responses, and has a relatively high safety of medication.

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冯龙.布美他尼片联合氯沙坦钾治疗慢性肾小球肾炎的疗效临床研究[J].四川生理科学杂志,2026,48(5):

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  • 收稿日期:2025-04-25
  • 最后修改日期:2025-06-09
  • 录用日期:2025-06-13
  • 在线发布日期: 2026-05-20
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