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黄芪配方(益复通)对慢性肾脏病的治疗作用:临床研究与叙述性文献综述

Therapeutic effects of Huangqi formula (Eefooton) in chronic kidney disease: clinical research and narrative literature review.

作者信息

Lu Kuo-Cheng, Wu San-Chiang, Lu Tsuo-Cheng, Tzeng I-Shang, Kuo Chun-En, Hung Yu-Chiang, Wu Szu-Ying, Chen Te-Chuan, Tsai Ming-Kai, Chuang Chih-Kuang, Hu Wen-Long

机构信息

Division of Nephrology, Department of Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei City 23142, Taiwan.

Division of Nephrology, Department of Medicine, Fu-Jen Catholic University Hospital, School of Medicine, Fu-Jen Catholic University, New Taipei City 24352, Taiwan.

出版信息

Aging (Albany NY). 2024 Dec 7;16(22):13627-13647. doi: 10.18632/aging.206170.

Abstract

OBJECTIVE

The study aimed to assess the clinical effects of employing the Huangqi formula (Eefooton; EFT) for chronic kidney disease (CKD) treatment. A narrative literature review was undertaken to elucidate the specific ingredients of EFT and their potential impact on renal health.

METHODS

A retrospective observational study investigated EFT treatment in outpatients with stable CKD (stages 3B to 5) from March 2019 to March 2021. Patients received 20 mL of EFT thrice daily for 6 months, along with standard treatment. Control groups were matched to the EFT cohort. Regular assessments of renal, liver functions, and lipid profiles were conducted.

RESULTS

Serum creatinine (Cr) and eGFR levels consistently improved in stage 3B CKD patients at each follow-up visit. At 6 months, improvement in Cr and eGFR was observed for stage 4 and 5 CKD. Stage 3B CKD patients exhibited notable reductions in systolic blood pressure after 3 and 6 months of EFT treatment. Remarkably, a substantial decrease in HbA1C was noted in stage 4 CKD individuals after three months of therapy. Additionally, stage 4 CKD patients saw a significant reduction in LDL levels after both 3 and 6 months of EFT treatment. A literature review on EFT ingredients indicated that the positive effects of EFT might be associated with its anti-inflammatory, antioxidant, and anti-fibrotic properties.

CONCLUSIONS

This research demonstrated that incorporating EFT alongside standard treatment enhanced renal function in individuals with CKD. EFT is proposed as a feasible complementary treatment for CKD patients, emphasizing the importance of early intervention.

摘要

目的

本研究旨在评估使用黄芪配方(益复通;EFT)治疗慢性肾脏病(CKD)的临床效果。进行了一项叙述性文献综述,以阐明EFT的具体成分及其对肾脏健康的潜在影响。

方法

一项回顾性观察性研究调查了2019年3月至2021年3月期间稳定期CKD(3B至5期)门诊患者的EFT治疗情况。患者每天三次服用20毫升EFT,持续6个月,并接受标准治疗。对照组与EFT队列进行匹配。定期评估肾功能、肝功能和血脂谱。

结果

在每次随访时,3B期CKD患者的血清肌酐(Cr)和估算肾小球滤过率(eGFR)水平持续改善。在6个月时,4期和5期CKD患者的Cr和eGFR有所改善。3B期CKD患者在接受EFT治疗3个月和6个月后收缩压显著降低。值得注意的是,4期CKD患者在治疗三个月后糖化血红蛋白(HbA1C)大幅下降。此外,4期CKD患者在接受EFT治疗3个月和6个月后低密度脂蛋白(LDL)水平均显著降低。一项关于EFT成分的文献综述表明,EFT的积极作用可能与其抗炎、抗氧化和抗纤维化特性有关。

结论

本研究表明,在标准治疗的基础上加入EFT可改善CKD患者的肾功能。EFT被提议作为CKD患者一种可行的辅助治疗方法,强调了早期干预的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f43/11723655/f3b705a372fe/aging-16-206170-g001.jpg

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