首页|硫辛酸联合肾康注射液治疗早期糖尿病肾脏病的临床疗效

硫辛酸联合肾康注射液治疗早期糖尿病肾脏病的临床疗效

Clinical Efficacy of Lipoic Acid Combined with Shenkang Injection in the Treatment of Early Diabetic Kidney Disease

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目的 探讨硫辛酸联合肾康注射液治疗早期糖尿病肾脏病(diabetic kidney disease,DKD)的疗效及对炎症的影响.方法 选取2020年6月—2021年12月柳州市柳铁中心医院收治的97例DKD患者为研究对象,以治疗方法的不同将患者分为A组(34例,硫辛酸、肾康联合厄贝沙坦治疗)、B组(33例,肾康联合厄贝沙坦治疗)、对照C组(30例,厄贝沙坦治疗),均治疗2周.比较3组患者临床疗效、尿白蛋白/尿肌酐(urinary albu-min/creatinine,UACR)、血肌酐(serum creatinine,Scr)、尿素氮(blood urea nitrogen,BUN)、肾小球滤过率估算值(estimated glomerular filtration rate,eGFR)、超敏C反应蛋白(high-sensitivity C-reactive protein,hs-CRP)、空腹血糖、不良反应发生率.结果 A、B组治疗总有效率高于C组,且A组治疗总有效率高于B组,差异有统计学意义(P均<0.05).治疗后,与C组相比,A、B组UACR水平均降低,且A组低于B组,差异有统计学意义(P均<0.05).治疗后,与B组和C组比较,A组Scr和hs-CRP均显著降低,eGFR显著增加差异有统计学意义(P均<0.05).3组不良反应发生率比较,差异无统计学意义(P>0.05).结论 硫辛酸联合肾康、厄贝沙坦治疗早期DKD能抑制炎症因子的释放,从而起到延缓DKD、保护肾脏的作用.
Objective To investigate the efficacy of lipoic acid combined with Shenkang Injection in the treatment of early diabetic kidney disease(DKD)and its effect on inflammation.Methods A total of 97 patients with early DKD ad-mitted to Liuzhou Municipal Liutie Central Hospital from June 2020 to December 2021 were selected as the research objects.According to different treatment methods,the patients were divided into group A(34 cases,lipoic acid,Shenk-ang combined with irbesartan),group B(33 cases,Shenkang combined with irbesartan)and control group C(30 cases,irbesartan).All patients were treated for 2 weeks.The clinical efficacy,urinary albumin/creatinine(UACR),serum cre-atinine(Scr),blood urea nitrogen(BUN),estimated glomerular filtration rate(eGFR),high-sensitivity C-reactive pro-tein(hs-CRP),fasting plasma glucose and incidence of adverse reactions were compared among the three groups.Results The total effective rate of group A and group B was significantly higher than that of group C,and the total ef-fective rate of group A was higher than that of group B and the differences were statistically significant(both P<0.05).After treatment,compared with group C,the levels of UACR in group A and group B were decreased,and group A was lower than group B,the differences were statistically significant(both P<0.05).After treatment,Scr and hs-CRP in group A were significantly lower,and eGFR was increased significantly than those in group B and group C,and the differences were statistically significant(all P<0.05).There was no significant difference in the incidence of adverse reactions among the three groups(P>0.05).Conclusion Lipoic acid combined with Shenkang and irbesartan in the treatment of early DKD can inhibit the release of inflammatory factors,thus delaying DKD and protecting the kidney.

Diabetic kidney diseaseLipoic acidShenkang InjectionIrbesartan

梁江燕、廖伟玲、李锋、张林潮

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柳州市柳铁中心医院内分泌科,广西 柳州 545007

柳州市柳铁中心医院全科医学科,广西 柳州 545007

糖尿病肾脏病 硫辛酸 肾康注射液 厄贝沙坦

广西壮族自治区中医药管理局自筹经费科研课题

GZZC2020375

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(14)
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