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降糖保肾汤对早期糖尿病肾病干预的临床研究

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目的 探究对早期糖尿病肾病患者给予降糖保肾汤实施干预治疗的临床治疗结果.方法 选取2015年3月~2017年6月嘉兴市中医院接收诊治的早期糖尿病肾病患者62例作为研究样本,均为本院依据相应标准确诊的早期糖尿病肾病患者,将其随机分为2组,即对照组和观察组,每组31例.对照组给予常规的西医诊治手段,观察组在对照组基础上增添降糖保肾汤实施干预治疗,治疗周期为2个月.观察并比较2组患者临床治疗结果、尿微量白蛋白、尿蛋白排泄率、肾功能、血糖及血脂相关指标的变化情况.结果 给予对应治疗手段后,观察组治疗有效率为96.77%,相比于对照组对应数值83.87%,提升趋势显著(P<0.05);治疗后,观察组患者空腹血糖、糖化血红蛋白、总胆固醇、三酰甘油及低密度脂蛋白相较于治疗前,均表现为显著下降趋势,高密度脂蛋白表现为显著升高趋势(P<0.05);观察组空腹血糖、糖化血红蛋白、三酰甘油、高密度脂蛋白及低密度脂蛋白相较于对照组,改善效果显著(P<0.05);2组总胆固醇变化对比差异无统计学意义;治疗前,2组尿微量白蛋白、尿白蛋白排泄率、尿素氮、血肌酐及内生肌酐清除率对比差异不具统计学意义;治疗后,2组尿微量白蛋白、尿白蛋白排泄率、尿素氮及内生肌酐清除率相较于治疗前,改善效果显著(P<0.05);观察组尿微量白蛋白、尿白蛋白排泄率、尿素氮及内生肌酐清除率相较于对照组,改善效果显著(P<0.05);2组血肌酐治疗前后对比差异无统计学意义.结论对早期糖尿病肾病患者给予降糖保肾汤实施干预治疗,临床治疗结果显著,对患者治疗有效率的提升、患者血糖、血脂及尿蛋白、肾功能相关指标的改善均有积极作用,且治疗过程中安全性更佳.
Clinical study on the intervention of Jiangtang Baoshen decoction in early diabetic nephropathy
Objective To explore clinical effects of the intervention of Jiangtang Baoshen decoction in early diabetic nephropathy. Methods From March 2015 to June 2017, in Jiaxing hospital of traditional Chinese medicine, 62 cases of early diagnosis and treatment of diabetic nephropathy were selected as study objects, and were randomly divided into two groups, the control group and the observation group, 31 cases for each group. The control group was given routine western medicine diagnosis and treatment, the observation group was given the intervention of Jiangtang Baoshen decoction on the basis treatment of the control group, the treatment period for two months. The changes of blood glucose, blood lipid and renal function were observed and compared between two groups. Results After treatment, the effective rate in the observation group (96.77%) was significantly higher than (83.87%) in the control group with statistical significance (P<0.05), the fasting blood glucose, glycosylated hemoglobin, triglyceride, and low-density lipoprotein in the observation group were significantly lower than those before treatment (P<0.05), high-density lipoprotein was higher than before treatment (P<0.05), the fasting blood glucose, glycosylated hemoglobin, triglyceride, high-density lipoprotein and low-density lipoprotein in the observation group were improved better than the control group(P<0.05). There was no significant difference in the changes of total cholesterol between the two groups. Before treatment, the urinary albumin excretion rate of the two groups was significantly higher than that of the control group (P<0.05). After treatment, the urinary albumin excretion rate, urea nitrogen and endogenous creatinine clearance rate of the two groups were significantly higher than those before treatment, and the clearance rate of urea nitrogen and serum creatinine (P<0.05). The effect of urinary albumin excretion rate, urea nitrogen and endogenous creatinine clearance in the observation group was significantly higher than that in the control group (P<0.05), and there was no statistical significance in serum creatinine before and after treatment between two groups. Conclusion The application of the intervention of Jiangtang Baoshen decoction in early diabetic nephropathy has better clinical effects, could positively improve patients' treatment efficiency, blood glucose, blood lipid and renal function with better safety.

Jiangtang Baoshen decoctionearly diabetic nephropathyintervention

赵俊

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嘉兴市中医院 肾病科,浙江 嘉兴 314000

降糖保肾汤 早期糖尿病肾病 干预

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(11)
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