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Xuefuzhuyu Decoction on contrast induced nephropathy after percutaneous coronary intervention

  

  1. 1. Department of Cardiology, Shaoxing People’s Hospital, Shaoxing   312000,China;
    2.  Zhejiang University  School of Medicine,Hangzhou 310003,  China
  • Online:2018-02-05 Published:2018-02-11
  • Contact: Corresponding author: Peng Fang,Email: Email: sxrmyypf@126.com

Abstract: Objective  To investigate the protective effect of Xuefuzhuyu Decoction in patients with contrast agent nephropathy after percutaneous coronary intervention (PCI).Methods  A total of 240 patients was enrolled and randomly divided into two groups: Control group (n=120) and Observation group (n=120). Before and after PCI, all the patients were routinely given antiplatelets, lipid regulation, hydration therapy, and were not fasting. Based on the routine therapy, observation group was given Xuefuzhuyu Decoction once a day before 3 days PCI and after 3 days of PCI. Serum creatinine (SCr), estimated glomerular filtration rate (eGFR), superoxide dismutase (SOD) and malondialdehyde (MDA) were measured respectively before and after PCI.Results  Compared with Control group, observation group presented a lower fluctuation of SCr and eGFR(P<0.01) Moreover, MDA content was significantly lower than that in the conventional group (P<0.05) and SOD was significantly higher than that in the conventional group (P<0.05).Conclusion  The medication of Xuefuzhuyu Decoction before and after PCI may effectively reduce the incidence of contrast agent nephropathy. The mechanism may be related to the removal of oxygen radicals and the decrease of contrast agent viscosity.

Key words: Xuefuzhuyu decoction, angioplasty, contrast agent nephropathy