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左旋肉碱对维持性血液透析老年患者营养不良及心功能不全的影响

冉玉力 韩玲 谭华

武警医学2012,Vol.23Issue(2):147-149,3.
武警医学2012,Vol.23Issue(2):147-149,3.

左旋肉碱对维持性血液透析老年患者营养不良及心功能不全的影响

Effect of levocarnitine on malnutrition and heart failure in elderly patients receiving hemodialysis

冉玉力 1韩玲 1谭华1

作者信息

  • 1. 614000,乐山,武警四川总队医院肾内科
  • 折叠

摘要

Abstract

Objective To study the impact of levocarnitine on malnutrition and heart failure in elderly hemodialysis (MHD) patients with malnutrition and heart failure. Methods 127 elderly patients on MHD were randomly divided into treatment group and control group. Ihe treatment group was given levocarnitine lg by intravenous injection at the end of each hemodialysis. Ihe duration of therapy was 2 months. The control group was given physiological saline by intravenous injection at the end of each hemodialysis. The frequency and duration of therapy were the same in the two groups. Serum albumin, prealbumin, transferrin, hemoglobin, dry weight and echocardiography were measured. Results Serum albumin, prealbumin, transferrin, hemoglobin dry weight were increased in treatment group (P<0.01). As the nutritional status improved, the LVEF in treatment group increased and the Tei index decreased when compared with control group ( P < 0. 01) . Conclusions Levocarnitine can significantly improve malnutrition and left ventricular function in elderly hemodialysis patients.

关键词

左旋肉碱/血液透析/营养不良/心功能不全/老年患者

Key words

L-carnitine/ hemodialysis/ malnutrition/ cardiac function/ elderly patients

分类

临床医学

引用本文复制引用

冉玉力,韩玲,谭华..左旋肉碱对维持性血液透析老年患者营养不良及心功能不全的影响[J].武警医学,2012,23(2):147-149,3.

武警医学

OACSTPCD

1004-3594

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