• 제목/요약/키워드: BUN and creatinine level

검색결과 187건 처리시간 0.03초

가미우슬탕의 요통치료효과 및 신기능에 미치는 영향에 대한 임상적 고찰 (A Clinical Study of the Effects of KamiWooseul-tang on Low Back Pain and Kidney Function)

  • 양재훈;한상철;오로사;오명진;김형균;이언정
    • 대한한의학회지
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    • 제21권4호
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    • pp.216-226
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    • 2000
  • Objectives : The aim of this clinical experiment was to investigate the effect of KamiWooseul-tang on low back pain and kidney function. Methods: We investigated 64 low back pain patients. We treated the patients with acupuncture, bed rest, herbal medicine, physical therapy. The patients were divided into two groups as follows, 32 patients (with normal renal function) were treated with only KamiWooseul-tang. Another 32 patients were treated with a commonly used herbal medicine. Results : The obtained results are summarized as follows. The patients were 43.8% male and 56.2% female. Their age were 20s 15.6%, 30s 25%, 40s 17.2%, 50s 9.3%, 60s 18.8% 70s 12.5% and 80s1.6%. Duration is most common in the most acute stage (< 1 week), next was chronic stage ( >6 months ), acute stage (1 week ~ 1 month) and subacute stage(l months ~ 6 months) in turn. Cure rate increased step by step after herb-medicine administration. Duration of patients had no relation with cure rate(P>0.05). The KamiWooseul-tang was more effective than the commonly used herbal medicine after 3 weeks therapy (P<0.05). Serum BUN and Creatinine level in KamiWooseul-tang group changed from $14.69{\pm}4.0,{\;}0.76{\pm}0.19(mg/dl)$ before adminstration to $13.64{\pm}3.92{\;}0.77{\pm}0.19,{\;}13.48{\pm}3.00{\;}0.82{\pm}0.21,{\;}13.26{\pm}3.73{\;}0.87{\pm}0.21(mg/dl)$ at 7th, 14th, and 21st days of administration respectively. Urinalysis showed no specific change in the KamiWooseul-tang group. During medication serum-electrolyte was within normal range. Conclusion : Therefore KamiWooseul-tang was more effective than the commonly used herbal medicine and there was no clinically remarkable difference in the serum BUN, Creatinine level, urinalysis and serum electrolyte between pre-medication and post-medication in the KamiWooseul-tang group.

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Paraquat 독성 경감제 검색 및 그 억제 기전에 관한 연구 (Studies on Screening of Paraquat Toxicity Reducing Agent and its Inhibition Mechanism)

  • 이정훈;구성자;정세영
    • 한국식품과학회지
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    • 제30권1호
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    • pp.192-198
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    • 1998
  • 제초제 paraquat의주된 독성 기전이 인체내 대사과정중 생성되는 superoxide anion radical $(O_{2-})$에 의한 것이라고 최근 보고된 바, 항산화작용을 갖는 taurine을 가지고 paraquat 독성 경감 효과 및 억제 기전에 관한 실험을 하게 되었으며 다음과 같은 결론을 얻게 되었다. 혈액생화학적인자 분석을 종합해 보면 paraquat의 독성 경감효과는 taurine, aloesin, ${\beta}-carotene$ 중 taurine이 가장 우수하였으며, aloesin도 효과가 있는 것으로 나타났다. In vivo에서 taurine은 혈액생화학적 검사에서 paraquat에 의해 유도된 간독성 지표인 sGPT. sGOT치, 신장독성 지표인 BUN, creatinine치 및 조직 손상의 지표인 ALP, MDA치를 정상으로 회복시켰다. 폐조직중의 MDA량, ALP 활성 및 collagen 량이 정상치로 회복이 되었다. 이로써 taurine은 paraquat의 폐독성 및 각 장기의 독성을 효과적으로 경감 시켜 준다는 사실을 확인할 수 있었다.

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Flavin mononucleotide (1,4-butanediamine) Pt(II) Complex와 Cisplatin의 세포주기에 대한 유세포 분석 및 ICR계 생쥐에서의 신장독성에 대한 생화학적 분석 (Flow cytometry of cell-cycle on Flavin mononucleotide (1,4-butanediamine) Pt(II) Complex and Cisplatin and Their Biochemical Analysis of Nephrotoxicity in ICR Mice)

  • 권영이;황규자;김안근;김국환;김원규;안동춘
    • 약학회지
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    • 제44권2호
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    • pp.149-154
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    • 2000
  • Flavin mononucleotide (1,4-butanediamine) Pt(II) complex (7FMN) was synthesized and screened anticancer activity [J. Pharm. Soc. Korea 43(6),762-770 (1999)]. 7FMN have good water solubility and moderate anticancer activiy In this paper cell-cycle specificity and nephrotoxicity were studied. Interaction of DNA with cisplatin and synthesized 7FMN was analyzed by flow cytometry and showed G2 arrest in L1210 cell line. It means that cell-cycle on L1210 was inhibit in S phase by cisplatin and 7FMN. In order to biochemically analyze nephrotoxicity of cisplatin and 7FMN, after injecting each agent intraperitoneally, blood was exsanguinated after 6 hours, 1 day, 3 days and 7 days, respectively. Then, serum was separated from the blood. The serum level of BUN, creatinine and uric acid in cisplatin and 7FMN administated mice (25~35 g, ICR strain, a dose each 8,12 and 16 times of the $IC_{50}$/ value, cisplatin; 7 times) were determined by autochemistry analyzer. In cisplatinadministered mice group, BUN level was elevated than normal control group at 3rd day and repaired at 7th day. In 7FMN administrated group was not elevated. Creatinine and uric acid level were no difference with the normal control group. Therefore synthesized 7FMN is less toxic than cisplatin in nephrotoxiciaty.

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사군자탕(四君子湯)이 $CCl_4$에 의한 생쥐의 간 조직 손상에 미치는 영향 (The Effects of Sagunja-tang on Liver Injury of Mice Induced by $CCl_4$)

  • 김영균;조수인
    • 대한한의학방제학회지
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    • 제9권1호
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    • pp.375-385
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    • 2001
  • Objectives : This study was carried out to research the protective effects of Sagunja-Tang(SA) through in vivo experiments, and tried to investigate the relation between oxidation of liver tissues and deficiency of Qi. Methods : Acute liver injury which initiated from free radical induced by $CCl_4$, were applied to mice and metabolic data were obtained. In order to measure the degree of liver injury, serum level of alanine aminotransferase(AST), aspartate aminotransferase(ALT), creatinine, blood urea nitrogen(BUN), total protein(TP) and glucose were measured. Lipid peroxidation of liver slice was examined by measuring malondialdehyde(MDA), a product of lipid peroxidation. Results : SA had protective effects on $CCl_4$ induced acute liver injury by decreasing serum level of ALT. Kidney injury was induced by injection of $CCl_4$ too, and SA protected kidney injury by decreasing serum level of creatinine and BUN. Conclusions : Through this study, we found that SA have healing effects on liver and kidney injury of $CCl_4$ induced oxidative stress that is similar to deficiency of Qi. And further studies have to be followed to certify the mechanisms.

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한국 성인에서 뇨 중 Microalbumin과 맥압의 관련성 (The Association of Urine Microalbumin and Pulse Pressure in Korean Adults)

  • 기미영;윤현
    • 대한임상검사과학회지
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    • 제48권3호
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    • pp.183-187
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    • 2016
  • 본 연구는 국가자료인 2012년도 국민건강영양조사 자료를 이용하여 20세 이상 성인(n=4,948)에서 뇨 중 microalbumin과 맥압(Pulse pressure, PP)의 관련성을 평가하고자 실시하였다. 연구결과에서 연령, 성별, 흡연습관, 음주습관, 운동습관, WM, BMI, TC, TG, HDL-C, FBG, BUN, creatinine, 및 요 중 creatinine 등을 보정하였을 때, 뇨 중 microalbumin평균값에서, High PP (PP>60.0 mmHg) [$33.02{\pm}4.93{\mu}g/mL$ (95% confidence interval (CI), 23.37~42.68)]가 Normal PP ($PP{\leq}60.0mmHg$) [$22.57{\pm}1.63{\mu}g/mL$ (95% CI, 19.36~25.77)]에 비하여 유의하게 높았다(p=0.047). 결론적으로 대한민국 성인에서 PP의 증가는 뇨 중 microalbumin의 증가와 유의한 관련성이 있었다.

귤피전원(橘皮煎元)을 처방한 만성신부전 환자 1례에 대한 보고 (One Case Report of Chronic Renal Failure Patient Prescribed Gyulpyjeonwon)

  • 정기훈;장선규;조충식;김철중
    • 혜화의학회지
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    • 제16권2호
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    • pp.229-234
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    • 2007
  • Objectives : Chronic renal failure(CRF) is a pathophysiologic process with multiple etiologies, resulting in the inexorable attrition of nephron number and function and frequently leading to end-stage renal disease. It causes various symptoms(edema, general body weakness, nausea, anorexia, uremia, osteodystrophy and so on) which impair quality of life and long term complications. The purpose of this case is to report the improvement of a patient with chronic renal failure. Methods : We treated the patient with herbal medication(Gyulpyjeonwon) and measured the creatinine, BUN, albumin, hemoglobin in the serum. Results : Gyulpyjeonwon decreased serum creatinine and BUN level and increased serum albumin and hemoglobin level. And the symptoms of CRF(edema, general body weakness, anorexia) was improved significantly. Conclusions : This case suggests the efficacy of herbal medication(Gyulpyjeonwon) to patient who was involved CRF.

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차전자약침(車前子藥鍼)이 Glycerol로 유발(誘發)된 급성신불전(急性腎不全) 백서(白鼠)에 미치는 영향(影響) (The Effect of Plantaginis Semen Herbal Acupuncture on Rat by Glycerol-Induced Acute Renal Failure)

  • 조시용;송춘호
    • 대한약침학회지
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    • 제3권2호
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    • pp.41-54
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    • 2000
  • This study was undertaken to determine if Plantaginis Semen Herbal Acupuncture(PSA) has a protective effect against glycerol-induced acute renal failure in rats. Rats were dehydrated for 24hr and then injected with 8 ml/kg of $50\%$ glycerol, one-half of dose in each hindlimb muscle. In experiments for PSA effect, rats received 0.1 ml of PSA extraction in both sides of corresponding Shenso($BL_{23}$) of human body for 3 days after injection of glycerol. The experimental group were di vided into the Normal group, the Control group, the PSA group. Glycerol injection decreased glomerular filtration rate and increased urine volume, serum creatinine, BUN level and fractional excretion of glucose, $Na^+$, $K^+$ and $CI^-$. These result show that glycerol injection result in acute renal failure. PSA significantly increased glomerular filtration rate and significantly decreased serum creatinine, BUN level and fractional excretion of glucose, $Na^+$ and $CI^-$ as compared Control group. This suggests that PSA could be used in prevention and treatment of acute renalfailure. However, the precise mechanisms of PSA protection remain to be determined.

Therapeutic Plasma Exchange in Pediatric Kidney Disease: 23-year Experience at the Severance Children's Hospital in Korea

  • Her, Sun Mi;Lee, Keum Hwa;Kim, Ji Hong;Lee, Jae Seung;Kim, Pyung Kil;Shin, Jae Il
    • Childhood Kidney Diseases
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    • 제21권2호
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    • pp.81-88
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    • 2017
  • Purpose: The American Society for Apheresis provides clinical guidelines for therapeutic apheresis in adults, but there are no guidelines for children. This study aimed to analyze the effect of therapeutic plasma exchange (TPE) in pediatric patients with various kidney diseases in Korea. Methods: We retrospectively reviewed the data of 16 children (up to 18 years of age) who were admitted to Severance Children's Hospital with refractory kidney disease. All patients received TPE between 1994 and 2016. Clinical and laboratory characteristics such as age, weight, sex, change in blood urea nitrogen (BUN), and creatinine level before and after TPE, and complications after TPE were analyzed. Results: The mean age and weight of the 16 patients at the time of TPE was $11.3{\pm}4.0$ years and $34.6{\pm}17.5$ kg, respectively. The BUN level was 35.4 mg/dL before TPE and significantly decreased to 21.5 mg/dL (P=0.025) at 1 week and 20.5 mg/dL (P= 0.01) at 1 month after TPE. The creatinine level significantly decreased from 1.20 mg/dL before TPE to 0.90 mg/dL (P=0.02) at 1 week after TPE. Four complications (hypovolemia, anemia, hypocalcemia, and thrombocytopenia) were reported, but were not fatal. Conclusion: Our findings suggest that TPE is an effective therapeutic modality in children with refractory kidney disease and can be indicated for the treatment of various kidney diseases.

육미지황탕가미방(六味地黃湯加味方)이 streptozotocin으로 유발(誘發)된 백서(白鼠)의 실험적(實驗的) 탕뇨(糖尿)에 미치는 영향(影響) (The effects of Yukmijiwhangtangkamibang on diabetic rat induced by streptozotocin)

  • 주재홍;김동우
    • 대한한의학방제학회지
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    • 제14권2호
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    • pp.33-44
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    • 2006
  • Objective : The objective of this study is to observe the effect of Yukmijiwhangtangkamibang(YukmD with Liriopis Tuber, Amomi Fructus, Citri Pericarpium, Zizyphi Spinosae Semen, Drynariae Rhizoma Ephedrae Herba, Ginseng Radix, Phellodendri Cortex, on the experimental diabetes. Methods : In order to induce diabetes experimentally, injected streptozoticin to the vein in the tail of rats and then treated oral administration of Yukmi water extracts. In the measurement of the variation levels of glucose, ALP, creatinine, and BUN concentration for each concentration levels for serum (382.5mg/l00g, 510.0mg/100g, 637.5mg/100g), concentration level of glucose significantly decreased in 510.0mg/l00g concentration level of Yukmi. With this 510.0mg/100g concentration level of Yukmijiwhangtanggamibang, the following conclusion was derived from the measurement of the serum levels of glucose, ALP, GOT, GPT, creatinine, and BUN concentration for the streptozotocin injection date of each 4th, 11th, and 18th day. Results : 1. In the measurement for each concentrations. the glucose concentration level in the serum significantly decreased on the 9th day in the Yukmi group. 2. In the measurement for each concentrations, the creatinine concentration level in the serum significantly decreased on the 9th day in the Yukmi group. 3. In the measurement for each dosage dates, the glucose concentration level in the serum significantly decreased on the 18th day in the Yukmi group to which 510.0mg/l00g administrated. 4. In the measurement for each dosage dates, the got concentration level in the serum significantly decreased on the 18th day in the Yukmi group to which 510.0mg/100g administrated. 5. In the measurement for each dosage dates, the creatinine concentration level in the serum significantly decreased on the 18th day in the Yukmi group to which 510.0mg/l00g administrated. Conclusion : Yukmi that is Yukmijiwhangtang with Liriopis Tuber, Amoni Fructus, Citri Pericarpium, Zizyphi Spinosae Semen, Drynariae Rhizoma, Ephedrae Herba, Ginseng Radix and Phellodendri Cortex, is known to have effects to lessen the damages on renal function and liver function without causing damages on liver and kidney.

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음곡에 시행한 적소두약침이 LPS로 유도된 흰쥐의 급성 신장염에 미치는 영향 (The Effect of Phaseoli Semen Herbal-acupuncture at $KI_{10}$ in Lipopolysaccharide Induced Acute Nephritis in Rats)

  • 곽규인;강재희;이현
    • Journal of Acupuncture Research
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    • 제30권3호
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    • pp.61-73
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    • 2013
  • Objectives : This study was designed to evaluate the effects of Phaseoli Semen Herbal-acupuncture(PS-HA) at $KI_{10}$ in acute nephritis induced by lipopolysaccharide(LPS) in rat. Methods : The rats were divided into 5 groups, which were control, LPS, PS-HA, NP and saline group. LPS, PS-HA, NP and saline groups were given LPS to induce acute nephritis and control group did not receive LPS. LPS group did not receive any treatment after the onset of acute nephritis. PS-HA, NP and saline group received PS-HA, normal acupuncture, and saline injection at $KI_{10}$ three times per week, respectively. To evaluate the effect of PS-HA at $KI_{10}$, the complete blood count, BUN, creatinine, TNF-${\alpha}$, and CINC-1 in serum were measured. To show its effect on renal function, creatinine, and total protein in urine was measured as well as urine output. The level of myeloperoxidase in renal tissue was quantified and complete histology was done in kidney samples obtained from the rats. Results : PS-HA group showed a significant reduction in the proportion of WBC and neutrophil, serum BUN, TNF-${\alpha}$, and CINC-1 compared to LPS group. Furthermore, a significant increase in urine output and a decrease in urinary creatinine level, MPO in renal tissue, and number of neutrophils at glomerulus was observed in PS-HA group compared to LPS group Conclusions : PS-HA at $KI_{10}$ was shown to have a significantly effect on treating LPS induced acute nephrits. Therefore, future study is needed to further evaluate the clinical usefulness of PS-HA at $KI_{10}$ in treating acute nephritis.