Effect of 6%hydroxyethyl starch 130∕0.4 on acute kidney injury in elderly patients：a prospective, multicenter, randomized, double-blind, controlled clinical trial
10.3760∕cma.j.issn.0254-1416.2016.09.025
- VernacularTitle:6％羟乙基淀粉130∕0．4对老年患者急性肾损伤的影响：前瞻性、多中心、随机、双盲临床对比研究
- Author:
Yuanyuan ZHANG
;
Yonghao YU
;
Junya JIA
;
Wenli YU
;
Rubin XU
;
Licheng GENG
;
Ying WEI
- Keywords:
Hetastarch;
Aged;
Renal insufficiency,acute
- From:
Chinese Journal of Anesthesiology
2016;36(9):1138-1141
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of 6% hydroxyethyl starch 130∕0. 4 on acute kidney injury in elderly patients in a prospective, multicenter, randomized, double?blind, controlled clinical tri?al. Methods A total of 120 patients of both sexes, aged 65-82 yr, weighing 56-83 kg, of American So?ciety of Anesthesiologists physical status Ⅰ or Ⅱ, scheduled for elective orthopaedics and hernia surgery, were divided into either hydroxyethyl starch group ( group HES) or lactated Ringer′s solution group ( group LR) , with 60 patients in each group. Hydroxyethyl starch and lactated Ringer′s solution were infused intra?venously at a rate of 7. 5 ml∕kg during 1st hour of surgery in HES and LR groups, respectively. Lactated Ringer′s solution was then infused at a rate of 5 ml∕kg starting from 2nd hour of surgery until the end of sur?gery in both groups. Before surgery, at the end of surgery and at 1, 3 and 5 days after surgery, blood sam?ples and urine specimens were collected for determination of the concentrations of neutrophil gelatinase?asso?ciated lipocalin, interleukin?18 (IL?18), plasma creatinine, urine β2 microglobulin and urine albumin.
The estimated glomerular filtration rate was calculated. Results The level of urine IL?18 was significantly higher at each time point after surgery than before surgery and immediately after the end of surgery ( P<0.05) . There were no significant differences between the two groups in the levels of urine IL?18, plasma creatinine, plasma and urine neutrophil gelatinase?associated lipocalin, plasma IL?18, urineβ2 microglob?ulin and urine albumin and estimated glomerular filtration rate at each time point ( P>0.05) . Conclusion Compared with lactated Ringer′s solution, 6% hydroxyethyl starch 130∕0.4 does not aggravate acute kidney injury in elderly patients.
