首页|非奈利酮联合西格列汀治疗糖尿病肾病的临床效果

非奈利酮联合西格列汀治疗糖尿病肾病的临床效果

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目的 探讨非奈利酮与西格列汀联合应用于糖尿病肾病(DN)治疗中的效果.方法 采用随机数字表法将2022年7月至2023年7月至鹤壁煤业(集团)有限公司总医院就诊的75例DN患者分为对照组(37例)与观察组(38例).对照组接受西格列汀治疗,观察组在对照组基础上加用非奈利酮治疗,两组均连续治疗3个月.对比治疗前后肾功能、血糖控制情况;记录治疗期间两组药物不良反应发生情况.结果 治疗后,两组血肌酐(SCr)、胱抑素C(CysC)、尿素氮(BUN)、尿白蛋白肌酐比值(ACR)水平下降,且观察组低于对照组(P<0.05).治疗后,两组餐后血糖水平下降,且观察组低于对照组(P<0.05).对比两组药物不良反应发生率,差异无统计学意义(P>0.05).结论 非奈利酮联合西格列汀可有效改善DN患者肾功能,帮助患者更好控制血糖,且不会增加药物不良反应,疗效确切.
Clinical Effects of Feneridone Combined with Sigliptin in the Treatment of Diabetic Nephropathy
Objective To explore the effect of combination of fenelidone and sitagliptin in the treatment of diabetes nephropathy(DN).Methods A total of 75 patients with DN who admitted to the General Hospital of Hebi Coal Industry(Group)Co.,LTD.from July 2022 to July 2023 were divided into control group(37 cases)and observation group(38 cases)by random number table method.The control group received treatment with sitagliptin,while the observation group received additional treatment with phenirazone in addition to the control group.Both groups were treated continuously for 3 months.Renal function and blood glucose control before and after treatment were compared.The occurrence of adverse reactions to two groups of drugs during the treatment period were recorded.Results After treatment,the levels of serum creatinine(SCr),cystatin C(CysC),blood urea nitrogen(BUN),and urinary albumin creatinine ratio(ACR)decreased in both groups,and compared to the control group,the observation group were lower(P<0.05).After treatment,postprandial blood glucose levels decreased in both groups,and the observation group was lower than the control group(P<0.05).There was no statistical difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The combination of fenalidomide and sigliptin can effectively improve renal function in DN patients,help patients better control blood sugar,and do not increase adverse drug reactions,with definite therapeutic effects.

diabetic nephropathyfeneridonesiagliptinrenal functionfasting blood glucose

赵秋波、徐风梅

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鹤壁煤业(集团)有限公司总医院内分泌科,河南鹤壁 458000

糖尿病肾病 非奈利酮 西格列汀 肾功能 空腹血糖

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(18)