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Journal of Chinese Integrative Medicine ›› 2012, Vol. 10 ›› Issue (6): 641-646.doi: 10.3736/jcim20120607

• Original Clinical Research • Previous Articles     Next Articles

Effects of salvianolate combined with alprostadil and reduced glutathione on progression of chronic renal failure in patients with chronic kidney diseases: a long-term randomized controlled trial

Peng Fu1(), Xue-qiang Huang2, Ai-hong Yuan1, Guang Yu3, Xiao-bin Mei3, Ruo-lan Cui3   

  1. 1. Department of Nephrology, Tongji Hospital, Tongji University, Shanghai 200065, China
    2. Department of Traditional Chinese Medicine, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
    3. Department of Nephrology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
  • Received:2011-12-20 Accepted:2012-02-28 Online:2012-06-20 Published:2018-06-15
  • Contact: Peng Fu

Background: Effects of traditional Chinese medicine salvianolate combined with alprostadil and reduced glutathione on delay of progression in patients with acute kidney injury has been confirmed, but the role of this combination therapy on the progression of chronic renal failure is uncertain.
Objective: To investigate the long-term effects of regular administration of salvianolate combined with Western medicine on the progression of chronic renal failure in patients with chronic kidney diseases (CKDs).DESIGN, SETTING, PARTICIPANTS AND INTERVENTIONS: The study was performed at the ward of the Nephrology Department, Changhai Hospital, Second Military Medical University from August 2004 to October 2010. Thirty patients with CKDs at stage 2 to 4 and impaired renal function were recruited and randomly assigned to a treatment group or a control group, which consisted of 15 patients in each. Based on conventional therapy with the same oral medicines in the control group, patients in the treatment group were treated with salvianolate combined with alprostadil and reduced glutathione liquid intravenously for 7 to 10 d. Patients in the control group did not receive this combination therapy. The therapy was repeated monthly in patients in the treatment group. The follow-up time was an average of four years.MAIN OUTCOME MEASURES: Assessment of renal function, count of white blood cells, and test of serum hemoglobin, electrolytes and albumin were performed before and every year after treatment. Study endpoints were the serum creatinine level doubled from baseline or receiving replacement therapy. Number of remaining patients in each group was calculated at the end of every year.
Results: White blood cell count, serum albumin and electrocyte levels changed little in two groups after four years (P>0.05). Average serum hemoglobin levels in patients in the treatment group was elevated markedly compared with that in the control group after being treated for two years (P<0.01). The percentage of patients reaching the study termination in the treatment group (40%) decreased significantly compared with that (93%) in the control group (P<0.01).
Conclusion: The regular integrated traditional Chinese and Western medicine can effectively delay the deterioration of renal function in patients with CKDs over a period of four years.

Key words: chronic kidney disease, salvianolate, alprostadil, reduced glutathione, randomized controlled trial

Figure 1

Flow diagram of this randomized trial "

Table 1

Baseline characteristics of patients with chronic kidney diseases in two groups"

Item Control group (n=15) Treatment group (n=15)
Age (x±s, years) 51.9±21.7 52.5±18.6
Gender (Male/famale) 10/5 8/7
Body weight (x±s, kg) 67.8±19.4 68.0±20.3
Serum albumin (x±s, g/L) 40.5±10.8 41.3±14.3
Serum creatitine (x±s, mmol/L) 246.4±82.3 252.8±81.6
Estimated glomerular filtration rate (x±s, mL/min) 30.5±14.6 30.3±15.5
Serum hemoglobin (x±s, g/L) 95.3±20.4 96.1±16.7
White blood cells (x±s, ×109/L) 5.26±1.78 5.32±1.69
Serum sodium (x±s, mmol/L) 139.2±14.1 140.0±15.6
Serum potassium (x±s, mmol/L) 4.63±0.68 4.65±0.57
Serum chloride (x±s, mmol/L) 102.0±16.5 101.8±18.4

Figure 2

Number of patients remaining in two groups during course of the study"

Figure 2

Changes in serum hemoglobin content of patients during course of the study"

Group Serum hemoglobin (g/L)
0 year (x±s) 1 year (x±s) 2 years (x±s) 3 years (x±s) 4 years (Mean)
Control 95.2±18.4 (n=15) 112.3±28.6 (n=13) 108.7±39.9 (n=8) 110.4±29.6 (n=5) 109.0 (n=1)
Treatment 97.8±15.6 (n=15) 113.4±34.1 (n=15) 125.2±47.0* (n=14) 130.9±46.5* (n=12) 135.4 (n=9)
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