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促红细胞生成素在肾移植中的益处。

Benefits of erythropoietin in renal transplantation.

作者信息

Choukroun Gabriel, Martinez Frank

机构信息

Nephrology Department, Amiens University Hospital, Amiens, France.

出版信息

Transplantation. 2005 Feb 15;79(3 Suppl):S49-50. doi: 10.1097/01.tp.0000153304.39865.6e.

DOI:10.1097/01.tp.0000153304.39865.6e
PMID:15699752
Abstract

Anemia is a common complication in patients with chronic kidney diseases (CKD), including transplanted patients. Recent studies have found a prevalence of anemia of about 30%, whereas less than 10% of these patients received recombinant human erythropoietin. Factors explaining this high incidence of anemia in renal transplant recipients include delayed and impaired graft function and use of drugs inhibiting the action of angiotensin II and preventing rejection. Like in CKD patients, chronic anemia may impact on the cardiovascular system and finally on the high mortality of these patients. Recent data suggest also that anemia may be a factor of progression of renal dysfunction in kidney transplant recipients. A French randomized multicenter study was designed to answer this question.

摘要

贫血是慢性肾脏病(CKD)患者(包括肾移植患者)的常见并发症。最近的研究发现贫血患病率约为30%,而这些患者中接受重组人促红细胞生成素治疗的不到10%。肾移植受者贫血发生率高的原因包括移植肾功能延迟和受损,以及使用抑制血管紧张素II作用和预防排斥反应的药物。与CKD患者一样,慢性贫血可能影响心血管系统,最终导致这些患者的高死亡率。最近的数据还表明,贫血可能是肾移植受者肾功能不全进展的一个因素。一项法国随机多中心研究旨在回答这个问题。

相似文献

1
Benefits of erythropoietin in renal transplantation.促红细胞生成素在肾移植中的益处。
Transplantation. 2005 Feb 15;79(3 Suppl):S49-50. doi: 10.1097/01.tp.0000153304.39865.6e.
2
Anemia in pediatric renal transplant recipients.小儿肾移植受者的贫血
Pediatr Nephrol. 2004 May;19(5):526-30. doi: 10.1007/s00467-004-1427-y. Epub 2004 Mar 9.
3
Effects of recombinant human erythropoietin on the anemia of renal transplant recipients with chronic rejection.
Transplantation. 1989 Sep;48(3):527-9. doi: 10.1097/00007890-198909000-00038.
4
[Anemia after renal transplantation].肾移植后贫血
G Ital Nefrol. 2007 Jan-Feb;24(1):13-22.
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Outcome of renal transplantation in patients treated with erythropoietin.接受促红细胞生成素治疗的患者肾移植结果
Clin Nephrol. 1992 May;37(5):260-3.
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Anemia treatment with erythropoietin in pregnant renal recipients.红细胞生成素用于妊娠肾移植受者的贫血治疗
Transplant Proc. 2011 Oct;43(8):2970-2. doi: 10.1016/j.transproceed.2011.08.054.
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Pharmacoepidemiology of anemia in kidney transplant recipients.肾移植受者贫血的药物流行病学
J Am Soc Nephrol. 2004 May;15(5):1347-52. doi: 10.1097/01.asn.0000125551.59739.2e.
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Anemia, renal transplantation, and the anemia paradox.贫血、肾移植与贫血悖论
Semin Nephrol. 2006 Jul;26(4):307-12. doi: 10.1016/j.semnephrol.2006.05.007.
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Implications of recombinant erythropoietin therapy for renal transplantation.
Am J Nephrol. 1990;10 Suppl 2:44-7; discussion 48-52. doi: 10.1159/000168217.
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Erythropoietin therapy may retard progression in chronic renal transplant dysfunction.促红细胞生成素治疗可能会延缓慢性肾移植功能障碍的进展。
Nephrol Dial Transplant. 2002 Sep;17(9):1667-73. doi: 10.1093/ndt/17.9.1667.

引用本文的文献

1
Anemia identified one month after renal transplantation is predictive of anemia identified after twelve months.肾移植后1个月确诊的贫血可预测12个月后确诊的贫血。
Bosn J Basic Med Sci. 2009 Aug;9(3):221-4. doi: 10.17305/bjbms.2009.2810.