首页|前列地尔联合二甲双胍治疗糖尿病肾病的临床疗效分析

前列地尔联合二甲双胍治疗糖尿病肾病的临床疗效分析

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目的 对比分析前列地尔联合二甲双胍治疗糖尿病肾病的临床效果.方法 回顾性选取南安市医院于2022年1月—2023年9月收治的250例糖尿病肾病患者的临床资料.根据药物治疗方法分为对比组和研究组,各125例.两组均给予降糖、降脂、降压等基础治疗,对比组给予二甲双胍治疗,研究组在对比组基础上给予前列地尔治疗,比较两组治疗效果.结果 治疗后,研究组血糖(空腹血糖、餐后2 h血糖、糖化血红蛋白)水平、肾功能(血尿素氮、血肌酐、尿白蛋白排泄率)水平、血清水平(抗心磷脂抗体、白细胞介素-6、中性粒细胞明胶酶相关脂质运载蛋白)改善情况优于对比组,差异有统计学意义(P均<0.05);研究组临床治疗总有效率为95.20%,高于对比组的87.20%,差异有统计学意义(x2=4.984,P<0.05).结论 糖尿病肾病期间均在二甲双胍给药基础上联用将前列地尔,可增强临床疗效,改善血糖、肾功能、血清各项水平.
Clinical Efficacy Analysis of Alprostadil Combined with Metformin in the Treatment of Diabetes Nephropathy
Objective To compare and analyze the clinical effect of alprostadil combined with metformin in the treat-ment of diabetes nephropathy.Methods The clinical data of 250 patients with diabetic nephropathy admitted to Nan'an Hospital from January 2022 to September 2023 were retrospectively selected.According to the drug treatment method,they were divided into control group and study group,125 cases in each group,Both groups were given basic treatment such as hypoglycemic,lipid-lowering and blood pressure lowering,the control group was given metformin treatment,and the study group was given alprostadil treatment on the basis of the comparison group,and the therapeutic effect of the two groups was compared.Results After treatment,the improvement in blood glucose levels(fasting plasma glu-cose,2-hour postprandial plasma glucose,glycated hemoglobin),renal function(blood urea nitrogen,blood creatinine,urinary albumin excretion rate),and serum levels(anticardiolipin antibodies,interleukin-6,neutrophil gelatinase re-lated lipid transport protein)in the study group were better than those in the control group,the differences were statis-tically significant(all P<0.05);the clinical treatment effective rate of the study group was 95.20%,which was higher than that of the control group(87.20%),the difference was statistically significant(x2=4.984,P<0.05).Conclusion During diabetes nephropathy,alprostadil combined with metformin can enhance clinical efficacy and improve blood glucose,renal function and serum levels.

Diabetes nephropathyAlprostadilMetforminRenal function levelBlood glucose levelsSerum level

李新强、梁辉团、王昆莹

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南安市医院内分泌科,福建南安 362300

糖尿病肾病 前列地尔 二甲双胍 肾功能水平 血糖水平 血清水平

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(15)