首页|瑞舒伐他汀钙片联合骨化三醇治疗早期糖尿病肾病的疗效及对肾功能及炎症状态的影响

瑞舒伐他汀钙片联合骨化三醇治疗早期糖尿病肾病的疗效及对肾功能及炎症状态的影响

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目的 研究瑞舒伐他汀钙片与骨化三醇合用在初期糖尿病肾病治疗中对患者肾功能和炎症反应的影响。方法 选取 2022 年 10月~2024 年 1 月期间深圳恒生医院就诊的 80 名早期糖尿病肾病患者,采用随机抽签方式分为对照组和试验组,每组各 40 例。对照组接受瑞舒伐他汀钙片治疗,试验组接受瑞舒伐他汀钙片联合骨化三醇治疗。对比两组在疗效、肾功能指标[血尿素氮(BUN)、肌酐(Cr)、β2-微球蛋白(β2-MG)、胱抑素(Cys-C)、尿白蛋白排泄率)]、炎症因子[肿瘤坏死因子-α(TNF-α)、超敏C反应蛋白(hs-CRP)、白细胞介素-6(IL-6)]、肾纤维化指标[转化生长因子β1(TGF-β1)、同型半胱氨酸(Hcy)、血管内皮生长因子(VEGF)]上的差异。结果两组治疗前在BUN、Cr、β2-MG、Cys-C、尿白蛋白排泄率、TNF-α、hs-CRP、IL-6、TGF-β1、Hcy、VEGF水平上差异无统计学意义(P>0。05);治疗后,试验组治疗总有效率(95。00%)高于对照组(80。00%)(P<0。05);试验组在BUN、β2-MG、Cr、Cys-C、尿白蛋白排泄率上低于对照组(P<0。05);试验组在TNF-α、hs-CRP、IL-6 水平上低于对照组(P<0。05);试验组在TGF-β1、VEGF、Hcy水平上低于对照组(P<0。05)。结论 瑞舒伐他汀钙片联合骨化三醇治疗能显著改善早期糖尿病肾病患者的肾功能,降低炎症状态,并优化肾纤维化指标水平,为早期糖尿病肾病的治疗提供了新的方案。
The efficacy of rosuvastatin calcium tablets combined with calcitriol in the treatment of early diabetic nephropathy and its effects on renal function and inflammatory status
Objective To investigate the effects of combined treatment with rosuvastatin calcium and calcitriol on renal function and inflammatory responses in patients with early-stage diabetic nephropathy.Methods Eighty patients with early diabetic nephropathy who were treated in Shenzhen HengSheng Hospital from October 2022 to January 2024 were selected and randomly divided into the control group and the experimental group,each group of 40 people.The control group received treatment with rosuvastatin calcium alone,while the experimental group received a combination of rosuvastatin calcium and calcitriol.The groups were compared in terms of therapeutic efficacy,renal function indicators(BUN,β2-MG,Cr,Cys-C and urinary albumin excretion rate),inflammatory markers(TNF-α,hs-CRP,IL-6),and renal fibrosis indicators(TGF-β1,Hcy],VEGF).Results Before treatment,there were no significant differences between the two groups in levels of BUN,Cr,β2-MG,Cys-C,urinary albumin excretion rate,TNF-α,hs-CRP,IL-6,TGF-β1,Hcy or VEGF(P>0.05).After treatment,the trial group showed a higher overall effective rate than the control group(95.00%vs.80.00%)(P<0.05).The trial group also had lower levels of BUN,β2-MG,Cr,Cys-C and urinary albumin excretion rate than the control group(P<0.05).Furthermore,the trial group exhibited lower levels of TNF-α,hs-CRP,and IL-6(P<0.05),and lower levels of TGF-β1,VEGF,and Hcy(P<0.05).Conclusion Treatment with rosuvastatin calcium combined with calcitriol significantly improves renal function,reduces inflammatory status,and optimizes renal fibrosis indicators in patients with early diabetic nephropathy,offering a new treatment approach for this condition.

Early diabetic nephropathyRosuvastatin calciumCalcitriolRenal functionInflammatory statusRenal fibrosis

曾继仁、李籽针

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深圳恒生医院肾内科,广东 深圳 518102

早期糖尿病肾病 瑞舒伐他汀钙片 骨化三醇 肾功能 炎症状态 肾纤维化

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(12)