Abstract: Objective: Contrast-induced acute kidney injury (CI-AKI) is the third cause of hospitalacquired
AKI, and existing clinical prevention and treatment measures such as hydration
therapy and/or administration of antioxidants N-acetylcysteine treatment and other treatments still show little effect on the prevention and treatment of CI-AKI. This study
aims to explore the effect of Danhong injection on prevention of CI-AKI.
Methods: A total of 12 867 patients, who received coronary angiography, percutaneous
coronary intervention, enhanced CT or vascular intervention in a tertiary hospital, were
enrolled for this study. Among them, 423 in the treatment group received intravenous drip
of Danhong injection, and 12 444 in the control group received routine medicine.
Propensity score matching was conducted to balance confounding factors between the 2
groups and then the prevention effect of Danhong injection on CI-AKI was compared
between them.
Results: A total of 423 pairs of patients were matched successfully. The incidence of CIAKI
in the non-Danhong control group was higher than that in the Danhong treatment
group (5.7% vs 2.4%). The difference between the 2 groups was statistically significant (P<
0.05). CI-AKI occurred maily in the Stage 1 in both the non-Danhong control group and
the Danhong treatment group. The number of patients with Stage 1 of AKI in the control
group was more than that in the treatment group, and the difference was statistically
significant (P<0.05). The incidence of AKI in Stage 2 and Stage 3 was less in both groups,
and the difference was not statistically significant (P>0.05).
Conclusion: The results of this study support the use of Danhong injection in the
汪江林,周凌云,尹文俊,李岱阳,胡灿,左笑丛. 基于倾向性匹配法评价丹红注射液预防造影剂诱导的急性肾损伤的临床效果[J]. 中南大学学报(医学版), 2020, 45(10): 1193-1198.
WANG Jianglin, ZHOU Lingyun, YIN Wenjun, LI Daiyang, HU Can, ZUO Xiaocong. Clinical efficacy of Danhong injection in preventing
contrast-induced acute kidney injury based on
propensity score matching method
. Journal of Central South University(Medical Scienc, 2020, 45(10): 1193-1198.