首页|黄芪葛根汤结合胰激肽原酶肠溶片治疗早期糖尿病肾病的效果分析

黄芪葛根汤结合胰激肽原酶肠溶片治疗早期糖尿病肾病的效果分析

Efficacy of Huangqi Gegen Decoction Combined with Pancreatic Kininoge-nase Enteric-coated Tablets in the Treatment of Early Diabetic Nephropa-thy

扫码查看
目的 探讨黄芪葛根汤结合胰激肽原酶肠溶片治疗早期糖尿病肾病的效果.方法 选取2023年1-12月沂水县人民医院收治的80例早期糖尿病肾病患者为研究对象,根据不同的治疗方式分为研究组和对照组,每组40例.研究组在常规降糖治疗的基础上联合黄芪葛根汤和胰激肽原酶肠溶片治疗,对照组仅给予常规降糖治疗.比较两组生化指标、血液流变学指标、不良反应发生率.结果 治疗后,两组生化指标较治疗前均有所改善,且研究组24 h尿蛋白排泄率、尿素氮水平均低于对照组,差异均有统计学意义(P均<0.05);两组血清肌酐水平比较,差异无统计学意义(P>0.05).治疗后,两组血浆黏度较治疗前均有所降低,且研究组血浆黏度低于对照组,差异有统计学意义(P<0.05).研究组不良反应发生率低于对照组,差异有统计学意义(P<0.05).结论 黄芪葛根汤结合胰激肽原酶肠溶片治疗早期糖尿病肾病能够有效改善患者的临床症状,降低尿蛋白排泄率.
Objective Exploring the efficacy of Huangqi Gegen Decoction combined with pancreatic kininogenase enteric-coated tablets in the treatment of early diabetic nephropathy.Methods A total of 80 patients with early dia-betic nephropathy admitted to Yishui People's Hospital from January to December 2023 were selected as the research objects.According to different treatment methods,they were divided into study group and control group,with 40 cases in each group.The study group was treated with Huangqi Gegen Decoction and pancreatic kininogenase enteric-coated tablets on the basis of routine hypoglycemic therapy,while the control group was only treated with routine hypo-glycemic therapy.The biochemical indexes,hemorheology indexes and incidence of adverse reactions were compared between the two groups.Results After treatment,biochemical indexes of both groups were improved compared with be-fore treatment,and 24 h urinary protein excretion rate and urea nitrogen level of the study group were lower than those of the control group,the differences were statistically significant(both P<0.05),and there was no significant difference in serum creatinine level between the two groups(P>0.05).After treatment,the plasma viscosity of both groups was de-creased compared with before treatment,and the plasma viscosity of the study group was lower than that of the control group,the difference was statistically significant(P<0.05).The incidence of adverse reactions in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Huangqi Gegen Decoction combined with pancreatic kininogenase enteric-coated tablets in the treatment of early diabetic nephropa-thy can effectively improve the clinical symptoms of patients and reduce urinary protein excretion rate.

Huangqi Gegen DecoctionPancreatic kininogenase enteric-coated tabletsEarly diabetic nephropathyClinical effect

魏丽娟、杨洪洪

展开 >

沂水县人民医院内分泌科,山东 临沂 276400

黄芪葛根汤 胰激肽原酶肠溶片 早期糖尿病肾病 临床疗效

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(20)