首页> 外文期刊>Canadian Journal of Physiology and Pharmacology >Prednisone lowers serum uric acid levels in patients with decompensated heart failure by increasing renal uric acid clearance
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Prednisone lowers serum uric acid levels in patients with decompensated heart failure by increasing renal uric acid clearance

机译:泼尼松通过增加肾尿酸清除率降低失代偿性心力衰竭患者的血清尿酸水平

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摘要

Clinical studies have shown that large doses of prednisone could lower serum uric acid (SUA) in patients with decompensated heart failure (HF); however, the optimal dose of prednisone and underlying mechanisms are unknown. Thirty-eight patients with decompensated HF were randomized to receive standard HF care alone (n = 10) or with low-dose (15 mg/day, n = 8), medium-dose (30 mg/day, n = 10), or high-dose prednisone (60 mg/day, n = 10), for 10 days. At the end of the study, only high-dose prednisone significantly reduced SUA, whereas low-and medium-dose prednisone and standard HF care had no effect on SUA. The reduction in SUA in high-dose prednisone groups was associated with a significant increase in renal uric acid clearance. In conclusion, prednisone can reduce SUA levels by increasing renal uric acid clearance in patients with decompensated HF.
机译:临床研究表明,大剂量泼尼松可以降低失代偿性心力衰竭(HF)患者的血清尿酸(SUA)。然而,泼尼松的最佳剂量及其潜在机制尚不清楚。 38例失代偿性HF患者被随机分配接受标准HF护理(n = 10)或低剂量(15 mg /天,n = 8),中剂量(30 mg /天,n = 10),或大剂量泼尼松(60毫克/天,n = 10),持续10天。在研究结束时,只有大剂量的泼尼松显着降低了SUA,而小剂量和中剂量的泼尼松和标准HF护理对SUA没有影响。大剂量泼尼松组SUA的减少与肾尿酸清除率的显着增加有关。总之,泼尼松可以通过增加失代偿性HF患者的肾尿酸清除率来降低SUA水平。

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