番茄红素对行冠脉造影的糖尿病患者造影剂肾毒性的影响

Leyla Mahmoudnia, Farzad Abkhou, A. Bazdar, F. Ganji, M. Momenzadeh
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摘要

导读:造影剂肾毒性是糖尿病患者最常见和最关键的并发症之一。目的:探讨番茄红素对行冠脉造影的糖尿病患者造影剂肾毒性(CIN)的治疗和保护作用。患者和方法:本研究对113例服用番茄红素联合预防造影剂性肾损伤方案(番茄红素组)或单独预防肾损伤方案(方案组)的患者进行病历调查。血管造影前24小时至造影后72小时口服番茄红素。评估血尿素氮(BUN)、肌酐(Cr)和肾小球滤过率(GFR)并记录在检查表中。采用SPSS软件进行数据分析。结果:基线时,尿素、Cr、GFR均值比较差异无统计学意义(P>0.05)。然而,给予番茄红素后,各组间BUN均值差异有统计学意义(P<0.001),口服番茄红素组BUN较低。口服番茄红素后,平均Cr降低,但差异无统计学意义(P = 0.08)。两组方案与番茄红素组的平均GFR差异无统计学意义(P=0.44)。结论:糖尿病患者服用番茄红素治疗CIN可改善部分生化指标;然而,其对改善肾毒性指标的积极作用尚不能确定。
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The effect of lycopene on contrast-induced nephrotoxicity in diabetic patients undergoing coronary angiography
Introduction: Radiocontrast nephrotoxicity refers to one of the most prevalent and key complications in diabetic patients. Objectives: This study was aimed to investigate the therapeutic and protective effect of lycopene on contrast-induced nephrotoxicity (CIN) in diabetic patients undergoing coronary angiography. Patients and Methods: In this study, 113 patients who took lycopene with prevention of contrast induced kidney injury regime (lycopene group) or prevention of kidney injury regimen alone (regimen group) were investigated through medical records. Oral lycopene was administered 24 hours before to 72 hours after the angiography. Blood urea nitrogen (BUN), creatinine (Cr), and glomerular filtration rate (GFR) were assessed and recorded in a checklist. SPSS software was conducted for data analysis. Results: At the baseline, there was no significant difference between the mean of urea, Cr, and GFR (P>0.05). However, after administration of lycopene, a significant difference between the mean BUN was observed among groups (P<0.001), with lower rate in the patients taking oral lycopene. Although the mean Cr decreased after the administration of oral lycopene, no statistically significant difference was seen (P = 0.08). The mean GFR was not significant different between the two groups of regimen and lycopene (P=0.44). Conclusion: In patients with diabetes, taking lycopene for CIN may help improve some biochemical factors; nevertheless, its positive effect on the improvement of nephrotoxicity indices cannot be certainly determined.
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