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[在尿路结石病中使用具有抗氧化特性的膳食补充剂的可能性]

[Possibilities of using dietary supplements with antioxidant properties in urinary stone disease].

作者信息

Prosiannikov M Yu, Konstantinova O V, Golovanov S A, Anokhin N V, Voitko D A

机构信息

N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation, Moscow, Russia.

出版信息

Urologiia. 2020 Sep(4):55-59.

Abstract

INTRODUCTION

Dietary supplements are successfully used in many fields of medicine, including urology. In particular, urologists often prescribe dietary supplements for patients with urolithiasis.

AIM

to study an influence of dietary supplements Nefradoz on the metabolism of the main stone-forming substances and inhibitors of stone formation in patients with urolithiasis.

INTRODUCTION

Dietary supplements are successfully used in many fields of medicine, including urology. In particular, urologists often prescribe dietary supplements for patients with urolithiasis.

AIM

to study an influence of dietary supplements Nefradoz on the metabolism of the main stone-forming substances and inhibitors of stone formation in patients with urolithiasis.

MATERIALS AND METHODS

A total of 60 patients with urinary stone diseases were included in a single-center prospective randomized study. All patients were divided into 2 groups of 30 people, depending on the treatment. In the main group, patients followed standard diet, received general recommendations and dietary supplements Nefradoz for 28-30 days, 1 capsule (150 mg) 2 times a day with meals. In the control group, patients received only general recommendations and followed standard diet therapy for 28-30 days. The blood biochemical profile and 24-hour urine analysis were evaluated, as well as a urinalysis was performed on daily basis.

RESULTS

In patients receiving Nefradoz, urinary uric acid excretion increased by 0.9 mmol/day. It must be emphasized that an increase in uric acid excretion did not exceed the upper normal limit. A tendency towards an increase in urine excretion of sodium (by 54 mmol / day), magnesium (by 1 mmol / day) and citrates (by 0.6 mmol / day) was also found. The analysis of urinalysis showed that in the main group, urine specific gravity was lower than in the control group. Higher urine pH in the main group compared to the control group was also shown. The severity of hematuria with the use of Nefradoz was almost two times lower than in patients who did not receive dietary supplement.

CONCLUSION

Considering our data on the ability of dietary supplement Nefradoz to increase the concentration of main inhibitors of stone formation (magnesium and citrates), Nefradoz can be recommended for patients with urinary stone diseases, especially with concomitant hypomagnesuria and hypocitraturia.

摘要

引言

膳食补充剂在包括泌尿外科在内的许多医学领域都有成功应用。特别是,泌尿外科医生经常为尿路结石患者开膳食补充剂。

目的

研究膳食补充剂Nefradoz对尿路结石患者主要结石形成物质代谢及结石形成抑制剂的影响。

引言

膳食补充剂在包括泌尿外科在内的许多医学领域都有成功应用。特别是,泌尿外科医生经常为尿路结石患者开膳食补充剂。

目的

研究膳食补充剂Nefradoz对尿路结石患者主要结石形成物质代谢及结石形成抑制剂的影响。

材料与方法

60例尿路结石疾病患者纳入一项单中心前瞻性随机研究。所有患者根据治疗情况分为两组,每组30人。在主要组中,患者遵循标准饮食,接受一般建议,并服用膳食补充剂Nefradoz 28 - 30天,每天2次,每次1粒(150毫克),随餐服用。在对照组中,患者仅接受一般建议并遵循标准饮食疗法28 - 30天。评估血液生化指标和24小时尿液分析,以及每天进行尿液分析。

结果

服用Nefradoz的患者尿尿酸排泄量增加了0.9毫摩尔/天。必须强调的是,尿酸排泄量的增加未超过正常上限。还发现钠(增加54毫摩尔/天)、镁(增加1毫摩尔/天)和柠檬酸盐(增加0.6毫摩尔/天)的尿排泄量有增加趋势。尿液分析显示,主要组的尿比重低于对照组。主要组的尿液pH值也高于对照组。使用Nefradoz时血尿的严重程度几乎比未服用膳食补充剂的患者低两倍。

结论

考虑到我们关于膳食补充剂Nefradoz增加主要结石形成抑制剂(镁和柠檬酸盐)浓度能力的数据,Nefradoz可推荐给尿路结石疾病患者,尤其是伴有低镁尿症和低枸橼酸尿症的患者。

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