李景贺, 李彦卿, 姚子龙, 姚盛, 杨岚, 刘静, 石亚男, 刘占祥, 卢柠, 李文君, 靖彧. 小剂量两性霉素B脂质体对恶性血液病患者肾功能及血钾的影响[J]. 解放军医学院学报, 2015, 36(12): 1192-1194. DOI: 10.3969/j.issn.2095-5227.2015.12.009
引用本文: 李景贺, 李彦卿, 姚子龙, 姚盛, 杨岚, 刘静, 石亚男, 刘占祥, 卢柠, 李文君, 靖彧. 小剂量两性霉素B脂质体对恶性血液病患者肾功能及血钾的影响[J]. 解放军医学院学报, 2015, 36(12): 1192-1194. DOI: 10.3969/j.issn.2095-5227.2015.12.009
LI Jinghe, LI Yanqing, YAO Zilong, YAO Sheng, YANG Lan, LIU Jing, SHI Ya'nan, LIU Zhanxiang, LU Ning, LI Wenjun, JING Yu. Effect of low dosage of liposomal amphotericin B on renal function and serum potassium in patients with malignant hematological disease[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2015, 36(12): 1192-1194. DOI: 10.3969/j.issn.2095-5227.2015.12.009
Citation: LI Jinghe, LI Yanqing, YAO Zilong, YAO Sheng, YANG Lan, LIU Jing, SHI Ya'nan, LIU Zhanxiang, LU Ning, LI Wenjun, JING Yu. Effect of low dosage of liposomal amphotericin B on renal function and serum potassium in patients with malignant hematological disease[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2015, 36(12): 1192-1194. DOI: 10.3969/j.issn.2095-5227.2015.12.009

小剂量两性霉素B脂质体对恶性血液病患者肾功能及血钾的影响

Effect of low dosage of liposomal amphotericin B on renal function and serum potassium in patients with malignant hematological disease

  • 摘要: 目的 探讨小剂量两性霉素B脂质体对恶性血液病患者的安全性。 方法 回顾性分析解放军总医院血液科2013年6月- 2015年4月收治的46例恶性血液病患者,其中男性33例,女性13例,平均年龄为39(17 ~ 77)岁。观察患者小剂量两性霉素B脂质体治疗前、后的肌酐(Cre)、尿素氮(BUN)及血钾(K+)水平,分析治疗后肌酐、尿素氮、血钾的变化情况。 结果 小剂量两性霉素B脂质体治疗后肌酐较治疗前升高4.24μmol/L,血钾较治疗前降低0.05 mmol/L,但均无统计学差异(P> 0.05);尿素氮较治疗前升高0.94 mmol/L(P< 0.05)。 结论 小剂量两性霉素B脂质体的肾毒性发生率极低,对肌酐影响不明显,对尿素氮有一定影响,可使血钾降低,但差异无统计学意义。

     

    Abstract: Objective To evaluate the potential toxicity of low dosage of liposomal amphotericin B on renal function and serum potassium in patients with malignant hematological disease. Methods A total of 46 patients with malignant hematological disease (33 male and 13 female with mean age of 39 years, range 17-77 years) from June 1, 2013 to April 30, 2015 in Chinese PLA General Hospital were enrolled in this study. The data of serum Cre, BUN, and potassium K+were collected before and after liposomal amphotericin B was given. The changes of serum Cre, BUN, and potassium K+after treatment and the incidence of serum Cre, BUN, and potassium K+with change level more than 30% after treatment were analyzed. Results Compared with patients before treatment, the creatinine increased 4.24μmol/L and serum potassium decreased 0.05 mmol/L after treatment with low dosage of liposomal amphotericin B, but the difference were not statistically significant (P> 0.05). While, urea nitrogen increased 0.94 mmol/L after treatment compared with patients before treatment with significant difference (P< 0.05). Conclusion The incidence of toxicity to renal function in patients with low dosage of liposomal amphotericin B is quite low. There is no effect on serum creatinine, while it has a certain effect on serum urea nitrogen. And no significant difference is found in decreased potassium.

     

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