Department of Nephrology, Health Science Center, South China Hospital, Shenzhen University, No.1, Fuxin Road, Longgang District, Shenzhen, People's Republic of China.
Guangdong Key Laboratory for Biomedical Measurements and Ultrasound, ImagingSchool of Biomedical Engineering, Shenzhen University Health Science Center, Shenzhen, 518060, China.
Int Urol Nephrol. 2024 Aug;56(8):2645-2650. doi: 10.1007/s11255-024-04016-6. Epub 2024 Mar 18.
Acute kidney injury (AKI) is one of the most common clinical critical illnesses, with decreased glomerular filtration rate, retention of nitrogen products, water and electrolyte disorders, and acid-base imbalance as the main clinical manifestations. Presently, there is no effective treatment for acute kidney injury, but the main treatment is to cure the primary disease, remove risk factors, maintain acid-base and water-electrolyte balance, and undergo kidney replacement. However, the mortality rate is still high. Investigations and studies showed that the mortality rate of patients with acute kidney injury in the ICU is 5-80% [1]. In recent years, Chinese medicine has been widely used in acute kidney injury treatment due to its complete dialectical system and rich experience. Astragalus is a commonly used medicine in traditional Chinese medicine to treat acute kidney injury. Astragaloside IV is the main active component of traditional Chinese medicine, Astragalus membranaceus. This article summarizes the relevant studies on treating acute kidney injury with astragaloside IV.
急性肾损伤(AKI)是最常见的临床危重症之一,以肾小球滤过率下降、氮产物潴留、水和电解质紊乱以及酸碱平衡失调为主要临床表现。目前,急性肾损伤尚无有效治疗方法,但主要治疗方法是治疗原发病、去除危险因素、维持酸碱和水电解质平衡,并进行肾脏替代治疗。然而,死亡率仍然很高。研究表明,重症监护病房急性肾损伤患者的死亡率为 5-80%[1]。近年来,由于中医辨证体系完整、经验丰富,在急性肾损伤的治疗中得到了广泛的应用。黄芪是中医治疗急性肾损伤常用的药物,黄芪甲苷是中药黄芪的主要活性成分。本文总结了黄芪甲苷治疗急性肾损伤的相关研究。