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羟苯磺酸钙联合阿魏酸哌嗪治疗早期糖尿病肾病的临床研究
作者:陈国涛 费沛 张庆红 
单位:湖北省十堰市湖北医药学院附属太和医院
关键词:糖尿病肾病 羟苯磺酸钙 阿魏酸哌嗪 血栓素A2 高敏C反应蛋白 
分类号:
出版年·卷·期(页码):2013·41·第六期(382-385)
摘要:

目的 观察羟苯磺酸钙联合阿魏酸哌嗪治疗早期糖尿病肾病(DN)的疗效并探讨其作用机制。方法 选择2006年至2011年诊断为早期DN 的85例患者,随机分成治疗组和对照组,对照组常规降糖治疗,治疗组常规降糖加用羟苯磺酸钙片500 mg tid,阿魏酸哌嗪片200mg tid,疗程6月。观察治疗前后尿白蛋白排出量(UAE)、空腹血糖(FBG)、餐后2h血糖(PBG)、糖化血红蛋白(HbA1C)、肝肾功能、凝血功能、血脂、血栓烷素B2(TXB2)及高敏C反应蛋白(hs-CRP)变化。结果 治疗后3月,治疗组UAER开始下降(P<0.05),对照组无明显下降(P>0.05);治疗后6月,治疗组纤维蛋白原(FIB)、低密度脂蛋白胆固醇(LDL-C)、TXB2、hs-CRP均明显下降(P<0.01),FBG、PBG、HbA1C、肝肾功能差异无统计学意义;对照组治疗后各项指标无明显改变(P>0.05)。结论 羟苯磺酸钙联合阿魏酸哌嗪能减轻早期DN尿白蛋白排泄,部分逆转DN进展,并通过降低FIB、LDL-C、TXB、hs-CRP等改善高凝、微炎症状态而实现保护肾脏功能的作用。

Objective To investigate the curative efects of early diabetic nephropathy treated with calcium dobesilate and Piperazine Ferulate. Methods 85 patients with early diabetic nephropathy were randomly divided into the treatment and control groups from April 2006 to August 2011,43 cases in treating group,and 42 cases in countrol group.All the patients were given treatment to control blood glucose and 43 patients in the treatment group were treated with calcium dobesilate(500 mg,three times per day)and Piperazine Ferulate(200 mg,three times per day) for 6 months.Urinary albumin excretion(UAE),Serum glucose,Glyeosylated heamoglobin Alc,Hepatic and renal function,Coagulation function, Serum lipoids level,Thromboxane B2(TXB2) and High-sensitivity C-reactive protein(hs-CRP) were determined before and after the treatment.Results At 3 months After treatment,UAE levels in the treatment group were significantly decreased(P<0.05), and there were a significant decrease in FIB、 LDL-C、TXB2、hs-CRP,without change in FBG、PBG、HbA1C、hepatic and renal function,in the treatment group at 6 months after treatment,the data had never changed in the control group(P>0.05). Conclusion calcium dobesilate conbined with Piperazine Ferulate can decrease the levels of UAE in patients with early diabetic nephropathy and postpone the development of diabetic nephropathy, which might be due to ameliorate hypercoagulation and Micro-inflammatory status through down-regulation FIB、LDL-C、TXB and hs-CRP.

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