首页|利拉鲁肽用于糖尿病肾病患者治疗对脂肪细胞因子、血糖及肾功能指标的影响

利拉鲁肽用于糖尿病肾病患者治疗对脂肪细胞因子、血糖及肾功能指标的影响

Effect of Liraglutide on Adipocytokines,Blood Glucose and Renal Func-tion Indexes in Diabetic Nephropathy Patients

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目的 探讨利拉鲁肽用于糖尿病肾脏疾病(Diabetic Kidney Disease,DKD)患者治疗对脂肪细胞因子、血糖及肾功能指标的影响.方法 选取2020年1月—2022年12月福建省东山县医院收治的120例DKD患者为研究对象,通过随机数表法分为参考组和观察组,各60例.所有患者均予以格列喹酮及厄贝沙坦口服治疗,参考组在此基础上采用吡格列酮口服治疗,观察组将吡格列酮口服改为利拉鲁肽皮下注射,两组均持续治疗12周.比较两组患者治疗前、治疗12周后的脂肪细胞因子、血糖及肾功能指标.结果 治疗后,两组脂联素高于治疗前,内脂素低于治疗前,且观察组脂联素高于参考组,内脂素低于参考组,差异有统计学意义(P均<0.05).治疗后,两组空腹血糖、餐后2 h血糖水平均低于治疗前,且观察组低于参考组,差异有统计学意义(P均<0.05).治疗后,两组血清胱抑素、β2微球蛋白及α1微球蛋白水平均低于治疗前,且观察组低于参考组,差异有统计学意义(P均<0.05).结论 利拉鲁肽能够改善DKD患者脂肪细胞因子及血糖控制效果,并为其肾功能提供良好保护.
Objective To investigate the effects of liraglutide on adipocytokines,blood glucose and renal function in patients with diabetic kidney disease(DKD).Methods A total of 120 DKD patients admitted to Dongshan County Hos-pital of Fujian Province from January 2020 to December 2022 were selected as the study objects,and were divided into the reference group and the observation group according to the random number table method,with 60 cases in each group.All patients were given oral treatment of glipazone and irbesartan,the reference group was given oral treat-ment of pioglitazone on the basis of it,and the observation group was changed from oral pioglitazone to subcutaneous injection of liraglutide.Both groups received continuous treatment for 12 weeks.The adipocytokines,blood glucose and renal function indexes of two groups were compared before and after 12 weeks of treatment.Results Adipocyto-kines after treatment was higher than that before treatment,lactone was lower than that before treatment,and adipocy-tokines after treatment in observation group was higher than that in reference group,lactone level was lower than that in reference group,the differences were statistically significant(all P<0.05).The fasting plasma glucose and 2 h post-prandial blood glucose levels after treatment were lower than before treatment,and the observation group was lower than the reference group,the differences were statistically significant(all P<0.05).The levels of cystatin,β2 micro-globulin and α1 microglobulin in both groups after treatment were lower than before treatment,and the observation group was lower than the reference group,the differences were statistically significant(all P<0.05).Conclusion Lira-glutide can improve adipocytokines and blood glucose control in DKD patients,and provide good protection for renal function.

LiraglutideDiabetic kidney diseaseAdipocytokinesBlood glucoseRenal function

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福建省东山县医院内科三区,福建东山 363400

利拉鲁肽 糖尿病肾脏疾病 脂肪细胞因子 血糖 肾功能

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(3)
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