首页|达格列净对早期糖尿病肾病患者β2微球蛋白的影响

达格列净对早期糖尿病肾病患者β2微球蛋白的影响

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目的 探讨达格列净对早期糖尿病肾病(diabetic nephropathy,DN)患者β2 微球蛋白(β2-microglobulin,β2-MG)的影响。方法 选取 2021 年 6 月—2022 年 12 月茂名市人民医院早期糖尿病肾病患者 100 例作为研究对象,随机分为对照组与试验组,各 50 例。比较 2 组治疗前后血糖指标[空腹血糖(fasting plasma glucose,FPG)、餐后 2 h血糖(2 hour postprandial glucose,2 hPG)、糖化血红蛋白(glycated hemoglobin A1c,HbA1c)]、身体质量指数(body mass index,BMI)、血脂指标[总胆固醇(total cholesterol,TC)、低密度脂蛋白(low density lipoprotein-cholesterol,LDL-C)、三酰甘油(triacylglycerol,TG)]、肾功能指标[β2-MG、胱抑素C(cystatin C,CysC)、血肌酐(serum creatinine,Scr)]及不良反应发生率。结果 治疗后 2 组FPG、2 hPG、HbAlc水平均低于治疗前,且试验组低于对照组(P<0。05)。治疗后试验组BMI低于对照组(P<0。05)。治疗后 2 组TC、LDL-C、TG均低于治疗前,且试验组低于对照组(P<0。05)。治疗后 2 组血清β2-MG、CysC、Scr水平均低于治疗前,且试验组低于对照组(P<0。05)。试验组不良反应总发生率为 6。00%(3/50),对照组为 8。00%(5/50),差异无统计学意义(χ2 = 0。136,P= 0。712)。结论 达格列净治疗早期DN患者,可提高血糖控制效果,降低血清β2-MG、CysC、Scr水平,保护患者肾功能,且具有一定减脂减重效果,应用安全性高。
Effect of Dagliazine on β2 Microglobulin in Patients With Early Diabetic Nephropathy
Objective To investigate the effects of dagliprazin on β2-microglobulin(β2-MG)in patients with early diabetic nephropathy(DN).Methods A total of 100 patients with early diabetic nephropathy in Maoming People's Hospital from June 2021 to December 2022 were selected as the study objects,with 50 cases in each group.Two groups of blood glucose indicators before and after treatment:fasting plasma glucose(FPG),2-hour postprandial glucose(2 hPG),glycated hemoglobin A1c(HbA1c),body mass index(BMI),and blood lipid indicators(total cholesterol(TC),low density lipoprotein cholesterol(LDL-C),and triglycerides(TG).Renal function indicators[β2-MG,cystatin C(CysC),serum creatinine(Scr)]and incidence of adverse reactions were compared.Results After treatment,the levels of FPG,2 hPG and HbAlc in two groups were lower than before treatment,and the test group was lower than the control group(P<0.05).After treatment,the BMI of test group was lower than that of control group(P<0.05).After treatment,TC,LDL-C and TG in both groups were lower than before treatment,and the experimental group was lower than the control group(P<0.05).After treatment,the levels of serum β2-MG,CysC and Scr in two groups were lower than before treatment,and those in test group were lower than those in control group(P<0.05).The total incidence of adverse reactions in the experimental group was 6.00%(3/50),while in the control group was 8.00%(5/50),with no statistically significant difference(χ2=0.136,P=0.712).Conclusion Daglipzin in the treatment of early DN patients can improve blood glucose control effect,reduce serum β2-MG,CysC,Scr levels,protect patients'kidney function,and has a certain fat and weight reduction effect,with high safety.

dagliazinediabetic nephropathyβ2 microglobulincystatin Cserum creatininebody mass index

萧洁瑜、曾清泉

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茂名市人民医院内分泌代谢内科,广东茂名 525000

茂名市人民医院肾内科,广东 茂名 525000

达格列净 糖尿病肾病 β2微球蛋白 胱抑素C 血肌酐 身体质量指数

茂名市科技计划

2021135

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(7)
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