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补充叶酸、维生素B6和维生素B12对慢性肾病患者死亡率和心血管并发症的影响:一项循证病例报告

Effect of folic acid, vitamin B6 and vitamin B12 supplementation on mortality and cardiovascular complication among patients with chronic kidney disease: an evidence-based case report.

作者信息

Nursalim Alvin, Siregar Parlindungan, Widyahening Indah S

机构信息

Faculty of Medicine, University of Indonesia, Jakarta, Indonesia.

出版信息

Acta Med Indones. 2013 Apr;45(2):150-6.

PMID:23770797
Abstract

AIM

to determine whether the administration of folic acid, vitamin B6 and vitamin B12 would lead to reduction of cardiovascular complication and mortality among CKD patients.

METHODS

a search was conducted on PubMed and Google. The selection of title and abstract was conducted using inclusion and exclusion criterias, which led to six relevant articles. The selected studies were critically appraised for its validity, importance and applicability.

RESULTS

the administration of folic acid and vitamin B reduce homocysteine level among CKD patients. Despite homocysteine level reduction, all six studies reported similar findings that folic acid and vitamin B supplementation did not significantly reduce cardiovascular complication and mortality.

CONCLUSION

treatment with folic acid, vitamin B6 and vitamin B12 did not reduce cardiovascular complication and mortality among CKD patients.

摘要

目的

确定给予叶酸、维生素B6和维生素B12是否会降低慢性肾脏病(CKD)患者心血管并发症的发生率及死亡率。

方法

在PubMed和谷歌上进行检索。根据纳入和排除标准筛选标题和摘要,最终得到6篇相关文章。对所选研究的有效性、重要性和适用性进行严格评估。

结果

给予叶酸和维生素B可降低CKD患者的同型半胱氨酸水平。尽管同型半胱氨酸水平有所降低,但所有6项研究均报告了相似的结果,即补充叶酸和维生素B并不能显著降低心血管并发症的发生率及死亡率。

结论

叶酸、维生素B6和维生素B12治疗不能降低CKD患者心血管并发症的发生率及死亡率。

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1
Effect of folic acid, vitamin B6 and vitamin B12 supplementation on mortality and cardiovascular complication among patients with chronic kidney disease: an evidence-based case report.补充叶酸、维生素B6和维生素B12对慢性肾病患者死亡率和心血管并发症的影响:一项循证病例报告
Acta Med Indones. 2013 Apr;45(2):150-6.
2
[Should patients with chronic renal insufficiency be treated with folic acid, vitamin B6 and vitamin B12?].慢性肾功能不全患者应该用叶酸、维生素B6和维生素B12治疗吗?
Ugeskr Laeger. 2008 Mar 10;170(11):933-7.
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[Meta-analysis on effect of combined supplementation of folic acid, vitamin B12 and B6 on risk of cardio-cerebrovascular diseases in randomized control trials].[叶酸、维生素B12和B6联合补充对随机对照试验中心脑血管疾病风险影响的Meta分析]
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Effect of folic acid and B vitamins on risk of cardiovascular events and total mortality among women at high risk for cardiovascular disease: a randomized trial.叶酸和B族维生素对心血管疾病高危女性心血管事件风险及总死亡率的影响:一项随机试验
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Significant reduction of serum homocysteine level and oral symptoms after different vitamin-supplement treatments in patients with burning mouth syndrome.不同维生素补充治疗对灼口综合征患者血清同型半胱氨酸水平和口腔症状的显著降低作用。
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Vitamin supplements and cardiovascular risk: review of the randomized trials of homocysteine-lowering vitamin supplements.维生素补充剂与心血管风险:降低同型半胱氨酸的维生素补充剂随机试验综述
Semin Thromb Hemost. 2000;26(3):341-8. doi: 10.1055/s-2000-8101.
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Rationale, design and baseline characteristics of a large, simple, randomized trial of combined folic acid and vitamins B6 and B12 in high-risk patients: the Heart Outcomes Prevention Evaluation (HOPE)-2 trial.高危患者联合使用叶酸、维生素B6和维生素B12的大型、简单、随机试验的原理、设计及基线特征:心脏结局预防评估(HOPE)-2试验
Can J Cardiol. 2006 Jan;22(1):47-53. doi: 10.1016/s0828-282x(06)70238-0.
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Interventions for lowering plasma homocysteine levels in dialysis patients.降低透析患者血浆同型半胱氨酸水平的干预措施。
Cochrane Database Syst Rev. 2016 May 31;2016(5):CD004683. doi: 10.1002/14651858.CD004683.pub4.
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Homocysteine lowering with folic acid and B vitamins in people with chronic kidney disease--results of the renal Hope-2 study.慢性肾脏病患者补充叶酸和B族维生素降低同型半胱氨酸水平——肾脏Hope-2研究结果
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Nutrients. 2023 Feb 8;15(4):860. doi: 10.3390/nu15040860.
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Pathophysiology and treatment of cardiovascular disease in pediatric chronic kidney disease.儿科慢性肾脏病中心血管疾病的病理生理学和治疗。
Pediatr Nephrol. 2019 Jan;34(1):1-10. doi: 10.1007/s00467-017-3798-x. Epub 2017 Sep 22.
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Nutr Rev. 2017 Jan;75(1):61-70. doi: 10.1093/nutrit/nuw053.
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