在病毒性脑炎的成年人中,阿西克洛维尔诱导的毒性
Rida Batool1, Syeda Nosheen Zehra
1Department of General Medicine, Liaquat National Hospital, Karachi, Pakistan.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|February 11, 2024
概括
在病毒性脑炎患者中,亲肠道阿西克洛维尔经常导致急性损伤 (AKI). 监测功能对于早期发现和管理这种不良影响至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 门内阿西克洛维尔是病毒性脑炎的首要治疗方法.
- 急性损伤 (AKI) 是阿西克洛维尔治疗的潜在并发症.
- 了解阿西克洛维尔诱导的AKI的发病率和严重程度对于患者护理至关重要.
研究的目的:
- 在被诊断患有病毒性脑炎的患者中,确定亲腔阿西克洛维尔诱导的急性损伤 (AKI) 的频率.
- 根据KDIGO指南分析AKI的阶段和严重程度.
主要方法:
- 一项描述性研究对89名病毒性脑炎患者进行了描述性研究,这些患者接受了IV阿西克洛维尔.
- AKI是由血清肌素变化定义的,并使用KDIGO指南分阶段.
- 收集和分析了患者数据,包括人口统计和并发症.
主要成果:
- 38.2%的患者患有AKI,平均年龄为48岁.
- 第二阶段 (44%) 和第三阶段 (32%) AKI是最常见的,表明严重的损伤.
- 5.6%的第三期AKI患者需要透析.
结论:
- 门内阿西克洛维尔与病毒性脑炎患者AKI的显著风险有关.
- 早期识别和迅速管理阿西克洛维尔诱导的AKI是必不可少的.
- 建议在接受Acyclovir治疗的患者进行定期功能监测.
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